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Beware of atrial pacing-induced ventricular depolarization: A case of lead malfunction.
Dai, Bailing; Yin, Wenqing; Ma, Chengming; Ma, Peipei; Wang, Yingqi; Hong, Li; Yu, Xiaohong; Yin, Xiaomeng; Dong, Yingxue; Xia, Yunlong; Yang, Yanzong; Gao, Lianjun.
Afiliación
  • Dai B; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Yin W; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Ma C; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Ma P; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Wang Y; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Hong L; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Yu X; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Yin X; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Dong Y; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Xia Y; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Yang Y; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
  • Gao L; Department of cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Article en En | MEDLINE | ID: mdl-38683872
ABSTRACT
Although ventricular capture during the atrial threshold test is possible, there are rare reports on the insulation defect and inactive leads thereof. In this case, we present a pacemaker-dependent patient with a history of pacemaker generator replacements. The patient experienced ventricular capture induced by atrial pacing due to adhesion of the atrial and ventricular leads with an insulation defect. The atrial lead was abandoned and a new lead was implanted. However, there was a significant decrease in ventricular impedance detected shortly after the new lead was implanted. When observing the phenomenon of atrial pacing-induced ventricular depolarization, one uncommon reason to consider is lead adhesive wear. It is important to pay attention to the contact and bending sites of the leads.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Pacing Clin Electrophysiol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Pacing Clin Electrophysiol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos