Electromechanical synchronization of the heterotopic and native heart by dual atrial stimulation following heart transplantation

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
H AntretterG Poelzl

Abstract

After heterotopic heart transplantation, a 59-year-old woman presented with remarkable symptoms of breathlessness and fatigue, despite excellent donor heart function. Asynchrony of donor and native heart provoked haemodynamic instability. Dual atrial pacemaker implantation lead to linkage and synchronization of atrial and ventricular contraction in both the donor and native heart with the faster organ executing the synchronization. Remarkable relief of symptoms has been evident during the long-term follow-up.

References

Mar 1, 1992·Pacing and Clinical Electrophysiology : PACE·R W BreedveldM I el Gamal
Mar 1, 1996·Pacing and Clinical Electrophysiology : PACE·G FenelonP Brugada
Nov 24, 1998·Pacing and Clinical Electrophysiology : PACE·G ParryJ M McComb
Jun 1, 2000·World Journal of Surgery·N E Shumway

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Citations

Aug 4, 2012·Heart, Lung & Circulation·Gioel Gabrio SeccoPaolo Nicola Marino

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