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Kevin Maraj1, Varsha A Persad2, Aaron Hinds1
1Internal Medicine, Port-of-Spain General Hospital, Port-of-Spain, TTO.
Insights
A 56-year-old woman required a permanent pacemaker due to symptomatic bradycardia. This case highlights the increasing need for pacemakers and a structured approach to managing bradycardia, advocating for national policy changes.
Area of Science:
- Cardiology
- Medical Device Technology
Background:
- Symptomatic bradycardia is a significant clinical challenge requiring timely intervention.
- Permanent pacemaker implantation is a common treatment for symptomatic bradycardia.
Observation:
- A 56-year-old female presented with symptomatic bradycardia necessitating permanent pacemaker implantation.
- The case underscores the rising global and regional demand for pacemakers.
Findings:
- Systematic investigation is crucial for patients with symptomatic bradycardia.
- The case illustrates the practical application of pacemaker implantation procedures.
Implications:
- There is a growing need for permanent pacemakers, particularly in regions like Trinidad and Tobago.
- Policy changes at the national level are recommended to address the increasing demand and ensure adequate patient care.
- Standardized protocols for bradycardia investigation can improve patient outcomes.
Abstract:
We present the case of a 56-year-old lady who presented with symptomatic bradycardia and was outsourced for permanent pacemaker implantation. The discussion that follows highlights the growing need for permanent pacemakers globally and in Trinidad and Tobago, as well as the stepwise approach needed for investigating patients with symptomatic bradycardia. Finally, recommendations are made for policy changes needed at the national level.
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