12/23/2023 0 Comments Heart monitor implant side effectsA sonographic examination revealed a distance of about 3–4 cm between the left lateral sternal border and the medial boarder of the left silicone breast implant. Because of the known bilateral silicone breast implants, a gynaecological consultation before the scheduled implantation was arranged. While vomiting she fainted several times, which led to a new cardiology consultation where she agreed to have an ILR implanted to further the diagnostic investigations. On the basis of these normal findings, an expectant approach was chosen, with the patient advised to report any further syncopal events or cardiac complaints.Ībout half a year later the patient suffered from a viral gastrointestinal infection with diarrhoea and vomiting. Once again, no arrhythmias were observed. During an exercise treadmill test the patient was without any specific complaints and the heart rate rose normally up to a maximum of 189 bpm (113% of expected). A 48-hour Holter ECG recording demonstrated no relevant arrhythmias, specifically no heart block or bradycardia. A full cardiac workup revealed no relevant findings: echocardiography was normal with all cardiac cavities within the normal range and with normal function. Family history for sudden cardiac death was negative. Further cardiac symptoms such as angina, dyspnoea, palpitations or dizziness were denied. The patient’s personal history revealed, besides bilateral silicone breast implants for aesthetic reasons in 2011, several syncopal events: one, about 6 months earlier, following a bee sting in a sitting position and two others about 6 and 15 years earlier, which the patient could no longer describe in detail. The postoperative observation period was uneventful specifically, no rhythm disorders were found (telemetry rhythm surveillance) and the patient was discharged soon thereafter.Ībout a month after discharge the patient presented herself, as planned, in the cardiology outpatient clinic for workup of the unclear intraoperative episode. Unfortunately, no further documentation or rhythm strip was available and the nature of the episode remained unclear. During the operation a “cardiac rhythm disorder”, which was successfully treated with atropine by the attending anaesthesiologist, was reported. Experience in patients with silicone breast implants is, however, scarce.Ī 54-year-old, otherwise healthy female patient with no regular medication underwent laparoscopic hysterectomy because of postmenopausal bleeding. ![]() Complications during implantation are rare. It is used, for example, in patients with unexplained syncope or cryptogenic stroke. Implantable loop recorder, silicone breast implants, complications, syncopeĪn implantable loop recorder (ILR) is a subcutaneous cardiac monitoring device used for continuous long-term electrocardiographic monitoring of the heart rhythm. We report the case of a 54-year-old patient with bilateral silicone breast implants in whom successful implantation of a subcutaneous loop recorder led to the diagnosis that explained her repeated syncopal events. A Cardiology Department, Cantonal Hospital of Obwalden, Switzerlandī Gynaecology Department, Cantonal Hospital of Obwalden, Switzerland
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