Cargando…

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‐...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Yubin, Han, Yiru, Zheng, Liangrong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
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
_version_ 1785044269496532992
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
work_keys_str_mv AT zhangyubin recurrentpacemakermediatedarrhythmiawitharightbundlebranchblockpatterninapatientwithacardiacresynchronizationtherapydevice
AT hanyiru recurrentpacemakermediatedarrhythmiawitharightbundlebranchblockpatterninapatientwithacardiacresynchronizationtherapydevice
AT zhengliangrong recurrentpacemakermediatedarrhythmiawitharightbundlebranchblockpatterninapatientwithacardiacresynchronizationtherapydevice