Dual chamber pacing in a patient of hypertrophic cardiomyopathy with failure to wean from mechanical ventilator.
We discuss the case of a 63 years old female who required repeated intubation due to recurrent pulmonary edema. She was found to have hypertrophic cardiomyopathy with a gradient of 82 mmHg across the left ventricular outflow tract. Initially adequate rate control and treatment with negative inotropes did not help her condition. Finally a dual chamber pacemaker implantation and atrioventricular node modification lead to successful extubation.
Kanjwal
Shaffi
S
Department of Cardiovascular Medicine University of Toledo Medical Center 3000Arlington Ave Toledo, OH 43614 USA.
Kanjwal
Khalil
K
Imran
Naser
N
Kanjwal
Yousuf
Y