Case Report of Guillain-Barré Syndrome with Permanent Pacemaker
Author Information
Author(s): Mehul B Patel, Sandeep K Goyal, Sujeeth R Punnam, Khyati Pandya, Vipin Khetarpal, Ranjan K Thakur
Primary Institution: Thoracic and Cardiovascular Institute, Sparrow Health System, Michigan State University
Hypothesis
Can Guillain-Barré syndrome lead to the need for a permanent pacemaker due to cardiac complications?
Conclusion
Guillain-Barré syndrome can cause serious heart issues, and patients with severe bradycardia and asystole may need a permanent pacemaker.
Supporting Evidence
- Guillain-Barré syndrome can lead to severe autonomic dysfunction.
- Bradyarrhythmias occur in up to 50% of patients with severe Guillain-Barré syndrome.
- The patient required mechanical ventilation due to respiratory muscle involvement.
- Multiple episodes of bradycardia and asystole were observed.
- A permanent pacemaker was implanted after 5 days of temporary pacing.
Takeaway
A young girl got very weak and had heart problems because of a disease called Guillain-Barré syndrome, and she needed a special device to help her heart beat.
Methodology
The patient was diagnosed with Guillain-Barré syndrome through lumbar puncture and treated with intravenous immunoglobulin G, followed by pacemaker implantation due to severe bradycardia.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
18-year-old Caucasian female.
Digital Object Identifier (DOI)
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