title: Dual chamber pacing in a patient of hypertrophic cardiomyopathy with failure to wean from mechanical ventilator.
abstract: 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.
authors.affiliation: Department of Cardiovascular Medicine University of Toledo Medical Center 3000Arlington Ave Toledo, OH 43614 USA.
authors.forename: Shaffi
authors.initials: S
authors.lastname: Kanjwal
authors.forename: Khalil
authors.initials: K
authors.lastname: Kanjwal
authors.forename: Naser
authors.initials: N
authors.lastname: Imran
authors.forename: Yousuf
authors.initials: Y
authors.lastname: Kanjwal