Case Report
Volume: 4 | Issue: 10 | Published: Oct 28, 2020 | Pages: 327 - 331 | DOI: 10.24911/ejmcr/173-1561208658
Cardiogenic dementia improved after permanent pacemaker implantation: a case report
Authors: Anum Ashfaq , Pervez Khan
Article Info
Authors
Anum Ashfaq
Department of Cardiology, Pakistan Atomic Energy Commission General Hospital, Islamabad, Pakistan
Pervez Khan
Department of Cardiology, Pakistan Atomic Energy Commission General Hospital, Islamabad, Pakistan
Publication History
Received: June 22, 2019
Revised: July 13, 2020
Accepted: August 09, 2020
Published: October 28, 2020
Abstract
Background: Heart diseases are the most common diseases worldwide which cause significant morbidity and mortality. Bradycardia comes under the category of heart diseases and is more common in the elderly. Bradycardia is defined as heart rate of less than 60 beats per minute (bpm). There is a wide range of causes of bradycardia and the road to diagnosis includes extensive investigations. Case Presentation: Here we present the case of a 71-year-old male who presented with a history of dizzy spells, easy fatigueability, syncopal attacks, and memory impairment for 3 months prior to admission. On investigation, his complete blood counts, liver function tests, renal function tests, serum electrolytes, and urine routine examination were normal. His thyroid function tests were also normal. Electrocardiogram showed sinus bradycardia with pauses. Echocardiography was also normal. Holter monitoring showed multiple sinus pauses of 3.15 seconds average. Conclusion: We made a diagnosis of cardiogenic dementia due to sinus node dysfunction. The patient underwent permanent pacemaker implantation therapy and his symptoms improved. Our case highlights the importance of early diagnosis of the culprit disease and early intervention to prevent further complications.
Keywords: Dementia, bradycardia, pacemaker, green
Pubmed Style
Anum Ashfaq, Pervez Khan. Cardiogenic dementia improved after permanent pacemaker implantation: a case report. EJMCR. 2020; 28 (October 2020): 327-331. doi:10.24911/ejmcr/173-1561208658
Web Style
Anum Ashfaq, Pervez Khan. Cardiogenic dementia improved after permanent pacemaker implantation: a case report. https://ejmcr.com/articles/1380 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1561208658
AMA (American Medical Association) Style
Anum Ashfaq, Pervez Khan. Cardiogenic dementia improved after permanent pacemaker implantation: a case report. EJMCR. 2020; 28 (October 2020): 327-331. doi:10.24911/ejmcr/173-1561208658
Vancouver/ICMJE Style
Anum Ashfaq, Pervez Khan. Cardiogenic dementia improved after permanent pacemaker implantation: a case report. EJMCR. (2020), [cited December 25, 2024]; 28 (October 2020): 327-331. doi:10.24911/ejmcr/173-1561208658
Harvard Style
Anum Ashfaq, Pervez Khan (2020) Cardiogenic dementia improved after permanent pacemaker implantation: a case report. EJMCR, 28 (October 2020): 327-331. doi:10.24911/ejmcr/173-1561208658
Chicago Style
Anum Ashfaq, Pervez Khan. "Cardiogenic dementia improved after permanent pacemaker implantation: a case report." 28 (2020), 327-331. doi:10.24911/ejmcr/173-1561208658
MLA (The Modern Language Association) Style
Anum Ashfaq, Pervez Khan. "Cardiogenic dementia improved after permanent pacemaker implantation: a case report." 28.October 2020 (2020), 327-331. Print. doi:10.24911/ejmcr/173-1561208658
APA (American Psychological Association) Style
Anum Ashfaq, Pervez Khan (2020) Cardiogenic dementia improved after permanent pacemaker implantation: a case report. , 28 (October 2020), 327-331. doi:10.24911/ejmcr/173-1561208658