thumb procedimento marcapasso

Hoje o dia foi de estimulação cardíaca – 9 procedimentos de implantes de marcapasso e desfibrilador

15 de março de 2023

Síncope de repetição

Publicado por Marcelo Carrijo

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Paciente de 69 anos apresentando síncopes com característica liga-desliga há 6 meses geralmente na posição sentado.

Na propedêutica excluída cardiopatia estrutural, isquemia miocárdica, alterações metabólicas e patologias neurológicas.

Eletrocardiograma dentro dos padrões da normalidade e Holter sem evidência de taquiarritmias ou bloqueios.

O eletrocardiograma foi realizado durante massagem do seio carotideo.

O seio carotideo é um receptor de pressão localizado no pescoço que participa da regulação dos batimentos cardíacos e da pressão arterial.

Principalmente em homens idosos este barorreceptor pode se tornar disfuncionante com respostas exacerbadas causando episódios de bradicardia e/ou hipotensão: é a Hipersensibilidade do seio carotídeo.

O eletrocardiograma evidencia pausa -assistolia- de 10,4 segundos durante a compressão do seio carotideo com reprodução do sintoma de síncope.

Apesar de considerada uma doença benigna, do ponto de vista de mortalidade, é responsável por traumas potencialmente graves.

Foi, portanto, submetido a implante de marcapasso cardíaco definitivo.

Clínica de Arritmias em Uberlândia Dr. Marcelo Carrijo

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li{width:100%;float:none;position:relative;}#Header_creative #Top_bar .menu > li > a{padding:0;text-align:center;}#Header_creative #Top_bar .menu > li > a:after{display:none;}#Header_creative #Top_bar .menu > li > a span{border-right:0;border-bottom-width:1px;line-height:38px;}#Header_creative #Top_bar .menu li ul{left:100%;right:auto;top:0;box-shadow:2px 2px 2px 0 rgba(0,0,0,.03);-webkit-box-shadow:2px 2px 2px 0 rgba(0,0,0,.03);}#Header_creative #Top_bar .menu > li > ul.mfn-megamenu{margin:0;width:700px !important;}#Header_creative #Top_bar .menu > li > ul.mfn-megamenu > li > ul{left:0;}#Header_creative #Top_bar .menu li ul li a{padding-top:9px;padding-bottom:8px;}#Header_creative #Top_bar .menu li ul li ul{top:0;}#Header_creative #Top_bar .menu > li > a span.description{display:block;font-size:13px;line-height:28px !important;clear:both;}.menuo-arrows #Top_bar .menu > li.submenu > a > span:after{content:unset !important;}#Header_creative #Top_bar .top_bar_right{width:100% 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ul.mfn-megamenu > li > ul{display:block !important;position:inherit;left:auto;top:auto;}#Top_bar #menu ul li ul li ul{border-left:0 !important;padding:0;top:0;}#Top_bar #menu ul li ul li ul li a{padding:0 20px 0 45px;}#Header #menu > ul > li.current-menu-item > a,#Header #menu > ul > li.current_page_item > a,#Header #menu > ul > li.current-menu-parent > a,#Header #menu > ul > li.current-page-parent > a,#Header #menu > ul > li.current-menu-ancestor > a,#Header #menu > ul > li.current_page_ancestor > a{background:rgba(0,0,0,.02);}.rtl #Top_bar #menu{left:1px;right:auto;}.rtl #Top_bar a.responsive-menu-toggle{left:20px;right:auto;}.rtl #Top_bar #menu ul li.submenu .menu-toggle{left:15px;right:auto;border-left:none;border-right:1px solid #eee;transform:unset;}.rtl #Top_bar #menu ul li ul{left:auto !important;right:0 !important;}.rtl #Top_bar #menu ul li ul li a{padding:0 30px 0 20px;}.rtl #Top_bar #menu ul li ul li ul li a{padding:0 40px 0 20px;}.header-stack .menu_wrapper a.responsive-menu-toggle{position:static !important;margin:11px 0 !important;}.header-stack .menu_wrapper #menu{left:0;right:auto;}.rtl.header-stack #Top_bar #menu{left:auto;right:0;}.admin-bar #Header_creative{top:32px;}.header-creative.layout-boxed{padding-top:85px;}.header-creative.layout-full-width #Wrapper{padding-top:60px;}#Header_creative{position:fixed;width:100%;left:0 !important;top:0;z-index:1001;}#Header_creative .creative-wrapper{display:block !important;opacity:1 !important;}#Header_creative .creative-menu-toggle,#Header_creative .creative-social{display:none !important;opacity:1 !important;}#Header_creative #Top_bar{position:static;width:100%;}#Header_creative #Top_bar .one{display:flex;}#Header_creative #Top_bar #logo,#Header_creative #Top_bar .custom-logo-link{height:50px;line-height:50px;padding:5px 0;}#Header_creative #Top_bar #logo img.logo-sticky{max-height:40px !important;}#Header_creative #logo img.logo-main{display:none;}#Header_creative #logo 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.swiper-container{position:static;}.elementor-widget-image-carousel .swiper-container .swiper-slide figure,.elementor-widget-image-carousel .swiper .swiper-slide figure{line-height:inherit;}.elementor-widget-image-carousel .swiper-slide{text-align:center;}.elementor-image-carousel-wrapper:not(.swiper-container-initialized):not(.swiper-initialized) .swiper-slide{max-width:calc(100% / var(--e-image-carousel-slides-to-show,3));}.elementor-heading-title{padding:0;margin:0;line-height:1;}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit;}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px;}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px;}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px;}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px;}.elementor-widget-heading 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