Symptomatic Long Pauses and Bradycardia due to Massive Multinodular Goiter
Sinus node dysfunction with symptomatic bradycardia or chronotropic incompetence is generally an indication for pacemaker implantation. However, in patients with symptomatic sinus bradycardia, the identification and treatment of underlying pathologies may avoid the need for permanent pacemaker impla...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/4201942 |
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| _version_ | 1849405370099826688 |
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| author | Amrish Deshmukh Cevher Ozcan |
| author_facet | Amrish Deshmukh Cevher Ozcan |
| author_sort | Amrish Deshmukh |
| collection | DOAJ |
| description | Sinus node dysfunction with symptomatic bradycardia or chronotropic incompetence is generally an indication for pacemaker implantation. However, in patients with symptomatic sinus bradycardia, the identification and treatment of underlying pathologies may avoid the need for permanent pacemaker implantation. We present a case of carotid sinus syndrome and severe obstructive sleep apnea due to a massive multinodular goiter in a patient who presented with recurrent sinus pauses and syncope. The patient was managed without pacemaker implantation but instead with thyroidectomy resulting in decompression of the carotid sinus and airway and resolution of bradycardic episodes. |
| format | Article |
| id | doaj-art-4df65b8f26c6441cb8b887eddadbcf40 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-4df65b8f26c6441cb8b887eddadbcf402025-08-20T03:36:41ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/42019424201942Symptomatic Long Pauses and Bradycardia due to Massive Multinodular GoiterAmrish Deshmukh0Cevher Ozcan1Department of Medicine, University of Chicago, Chicago, IL, USADepartment of Medicine, University of Chicago, Chicago, IL, USASinus node dysfunction with symptomatic bradycardia or chronotropic incompetence is generally an indication for pacemaker implantation. However, in patients with symptomatic sinus bradycardia, the identification and treatment of underlying pathologies may avoid the need for permanent pacemaker implantation. We present a case of carotid sinus syndrome and severe obstructive sleep apnea due to a massive multinodular goiter in a patient who presented with recurrent sinus pauses and syncope. The patient was managed without pacemaker implantation but instead with thyroidectomy resulting in decompression of the carotid sinus and airway and resolution of bradycardic episodes.http://dx.doi.org/10.1155/2017/4201942 |
| spellingShingle | Amrish Deshmukh Cevher Ozcan Symptomatic Long Pauses and Bradycardia due to Massive Multinodular Goiter Case Reports in Cardiology |
| title | Symptomatic Long Pauses and Bradycardia due to Massive Multinodular Goiter |
| title_full | Symptomatic Long Pauses and Bradycardia due to Massive Multinodular Goiter |
| title_fullStr | Symptomatic Long Pauses and Bradycardia due to Massive Multinodular Goiter |
| title_full_unstemmed | Symptomatic Long Pauses and Bradycardia due to Massive Multinodular Goiter |
| title_short | Symptomatic Long Pauses and Bradycardia due to Massive Multinodular Goiter |
| title_sort | symptomatic long pauses and bradycardia due to massive multinodular goiter |
| url | http://dx.doi.org/10.1155/2017/4201942 |
| work_keys_str_mv | AT amrishdeshmukh symptomaticlongpausesandbradycardiaduetomassivemultinodulargoiter AT cevherozcan symptomaticlongpausesandbradycardiaduetomassivemultinodulargoiter |