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Recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device
Under certain conditions, cardiovascular implantable electronic devices can be directly involved in initiating and sustaining pacemaker‐mediated arrhythmias (PMA), of which repetitive reentrant ventriculoatrial synchrony (RRVAS) is the most well‐known and common type. RRVAS, also known as pacemaker‐...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196096/ https://www.ncbi.nlm.nih.gov/pubmed/36534024 http://dx.doi.org/10.1111/anec.13032 |
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author | Zhang, Yubin Han, Yiru Zheng, Liangrong |
author_facet | Zhang, Yubin Han, Yiru Zheng, Liangrong |
author_sort | Zhang, Yubin |
collection | PubMed |
description | Under certain conditions, cardiovascular implantable electronic devices can be directly involved in initiating and sustaining pacemaker‐mediated arrhythmias (PMA), of which repetitive reentrant ventriculoatrial synchrony (RRVAS) is the most well‐known and common type. RRVAS, also known as pacemaker‐mediated tachycardia, was commonly secondary to atrioventricular (AV) dissociation and subsequent ventriculoatrial (VA) conduction. RRVAS in a biventricular system is rare due to its less predisposition to the appearance of AV dissociation and subsequent VA conduction, but urgent in its adverse impact on cardiac resynchronization therapy (CRT), which may predispose to exacerbated heart failure. We present a rare case of recurrent PMA manifested as a right bundle branch block pattern in a patient with a CRT device. Notably, most episodes of PMA were triggered by a premature atrial contraction accompanied by the appearance of VA conduction with no prolongation of AV delay. In this study, we have demonstrated the impact of the appearance of VA conduction due to the loss of capture of right ventricular lead and its potential risk for inducing RRVAS in a CRT device. |
format | Online Article Text |
id | pubmed-10196096 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101960962023-05-20 Recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device Zhang, Yubin Han, Yiru Zheng, Liangrong Ann Noninvasive Electrocardiol Case Reports Under certain conditions, cardiovascular implantable electronic devices can be directly involved in initiating and sustaining pacemaker‐mediated arrhythmias (PMA), of which repetitive reentrant ventriculoatrial synchrony (RRVAS) is the most well‐known and common type. RRVAS, also known as pacemaker‐mediated tachycardia, was commonly secondary to atrioventricular (AV) dissociation and subsequent ventriculoatrial (VA) conduction. RRVAS in a biventricular system is rare due to its less predisposition to the appearance of AV dissociation and subsequent VA conduction, but urgent in its adverse impact on cardiac resynchronization therapy (CRT), which may predispose to exacerbated heart failure. We present a rare case of recurrent PMA manifested as a right bundle branch block pattern in a patient with a CRT device. Notably, most episodes of PMA were triggered by a premature atrial contraction accompanied by the appearance of VA conduction with no prolongation of AV delay. In this study, we have demonstrated the impact of the appearance of VA conduction due to the loss of capture of right ventricular lead and its potential risk for inducing RRVAS in a CRT device. John Wiley and Sons Inc. 2022-12-19 /pmc/articles/PMC10196096/ /pubmed/36534024 http://dx.doi.org/10.1111/anec.13032 Text en © 2022 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Zhang, Yubin Han, Yiru Zheng, Liangrong Recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device |
title | Recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device |
title_full | Recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device |
title_fullStr | Recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device |
title_full_unstemmed | Recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device |
title_short | Recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device |
title_sort | recurrent pacemaker‐mediated arrhythmia with a right bundle branch block pattern in a patient with a cardiac resynchronization therapy device |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196096/ https://www.ncbi.nlm.nih.gov/pubmed/36534024 http://dx.doi.org/10.1111/anec.13032 |
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