A Case Report on Permanent Dual Chamber Pacemaker

Background: The dual-chamber, rate-modulated mode (referred to as DDDR) is the most recent cardiac pacing mode to become available. It restores both rate responsiveness and atrioventricular synchronization in patients with sinus node dysfunction and atrioventricular block. This pacing method combines rate-modulated dual-chamber and single-chamber technology. As a result, it is required to program both a maximum and a minimum. tracking rate and a maximum sensor rate, as in dual-chamber and single-chamber rate-modulated devices, respectively.

Case Presentation: A 55-year-old female was admitted to A.V. B.R. Hospital with a complaint of breathlessness on exertion chest pain last 10 days. The patient has had hypothyroidism seen 2 years. No history of Hypertension and Diabetes Mellitus, Patient was conscious and oriented, All the investigation was done. FORTIFY SSURA VVED DDDR pacing (MRI compatible) was connected to lead, P-wave 3:2- 4.0, R- wave 9.2- 11.5mV. Device positioned in right infra-clavicular pocket.

Conclusions: A 55-year-old female patient was admitted to the hospital with the chief complaint of breathlessness on exertion chest pin last 10 days. After all investigation patient was diagnosed with a case of permanent DDDR pacemaker. Now she is going to under a pacemaker procedure and treatment. Now patient prognosis is better than the previous and I advise the patient for the regular 15 days follow-up.