Bahrololoumi Bafruee, Negar
International Journal of Cardiovascular Practice

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Syncope during pregnancy in a patient with permanent cardiac pacemaker, due to increased pacing threshold. Akbarzadeh, Mohammad Ali; Safi, Morteza; Khaheshi, Isa; Bahrololoumi Bafruee, Negar
International Journal of Cardiovascular Practice Vol 1, No 2 (2016)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.449 KB) | DOI: 10.21859/ijcp-010207

Abstract

A 22-year-old pregnant woman referred with syncope due to pacemaker malfunction. During the second trimester of pregnancy, the right ventricular (RV) lead pacing threshold increased and led to early generator depletion. We believe that this might happen due to lead micro-dislodgement or less probably effect of hormonal changes during pregnancy on electrode-myocardium interface.
Drug-related Atrioventricular Block: Is It a Benign Condition? Sayah, Sima; Akbarzadeh, Mohammad Ali; Emkanjoo, Zahra; Mollazadeh, Reza; Shahrzad, Shahab; Bahrololoumi Bafruee, Negar
International Journal of Cardiovascular Practice Vol 1, No 1 (2016)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.395 KB) | DOI: 10.20286/ijcp-010105

Abstract

Introduction: Prognosis of the patients with beta blocker or calcium channel blocker induced AV block is not well known to date.Methods: All patients with symptomatic second-degree or third-degree atrioventricular block (AV) referred to our institution during one year were recuited prospectively and classified in two groups based on drug consumption (beta blocker/calcium channel blocker versus none). They were followed for six months and then collected data was analyzed.Results: The study included 49 patients, 28 patients (age 60.1 ± 20, 19 male) did not use any beta blocker or calcium channel blocker (No- DU group) and other 21 patients (age 73.5 ± 10.4, 7 male) receivd beta blocker, calcium channel blocker or both at the time of AV block (DU group). No-DU group was significantly younger than DU group. The most common atrial rhythm in both groups was sinus. There was no significant difference in QRS wideness or ventricular rate. AV block regressed in 43% of the DU group after discontinuation of drug for five half-life, but, Mobitz type 2 or complete AV block occurred again during six months in 50% of them without  consumption of the culprit drug.Conclusions: More than two third of the patients who developed AV block on beta blocker and/or calcium channel blocker needed permanent pacemaker in six months of follow- up, so we concluded that the development of AV block was not as benign as it seems in these patients.
Change in Atrial Activation Pattern during Ablation of Atrial Flutter Akbarzadeh, Mohammad Ali; Alizadeh Diz, Abolfath; Bahrololoumi Bafruee, Negar
International Journal of Cardiovascular Practice Vol 1, No 1 (2016)
Publisher : International Journal of Cardiovascular Practice

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.815 KB) | DOI: 10.20286/ijcp-010101

Abstract

Different types of supraventricular tachycardia have been reported in patients with history of surgical repair of Tetralogy of Fallot. This report presents appearance of focal atrial tachycardia during radiofrequency ablation of the cavotricuspid isthmus