• Internal medicine · Nov 2023

    Case Reports

    Efficacy of Coronary Sinus Pacing for Cardiogenic Shock due to Percutaneous Coronary Intervention-induced Sick Sinus Syndrome: Two Case Reports.

    • Shun Yokota, Nobuaki Igarashi, and Tomofumi Doi.
    • Division of Cardiovascular Medicine, Department of Internal Medicine, Japanese Red Cross Kobe Hospital, Japan.
    • Intern. Med. 2023 Nov 15; 62 (22): 335533603355-3360.

    AbstractWe herein report two cases of atrial pacing with coronary sinus (CS) pacing performed to improve hemodynamic instability in cardiogenic shock due to percutaneous coronary intervention (PCI)-induced sick sinus syndrome (SSS). Ventricular pacing alone made it difficult to stabilize hemodynamics due to SSS, which had been caused by the lack of reflow and slow flow of the sinus node artery (SNA) jailed with a stent. Adding atrial pacing with CS pacing may be useful, as in our two cases, where ventricular pacing alone was unable to stabilize hemodynamics.

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