Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition

Permanent pacemaker (PPM) malfunction due to electrical connection problems such as a loose set screw or lead-header malapposition is extremely rare. We present a patient with complete heart block (CHB) who had PPM malfunction and recurrent syncope, late (14 months) after initial implantation, which...

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Detalles Bibliográficos
Autores principales: Mazzone, Steven, Kohli, Utkarsh, Aziz, Zaid A., Beaser, Andrew D., Upadhyay, Gaurav A., Tung, Roderick, Nayak, Hemal M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7952771/
https://www.ncbi.nlm.nih.gov/pubmed/33271274
http://dx.doi.org/10.1016/j.ipej.2020.11.019
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author Mazzone, Steven
Kohli, Utkarsh
Aziz, Zaid A.
Beaser, Andrew D.
Upadhyay, Gaurav A.
Tung, Roderick
Nayak, Hemal M.
author_facet Mazzone, Steven
Kohli, Utkarsh
Aziz, Zaid A.
Beaser, Andrew D.
Upadhyay, Gaurav A.
Tung, Roderick
Nayak, Hemal M.
author_sort Mazzone, Steven
collection PubMed
description Permanent pacemaker (PPM) malfunction due to electrical connection problems such as a loose set screw or lead-header malapposition is extremely rare. We present a patient with complete heart block (CHB) who had PPM malfunction and recurrent syncope, late (14 months) after initial implantation, which was caused by the ventricular lead pin disengagement from the header resulting in oversensing due to noise, pacing inhibition and recurrent syncope. PPM due to lead-header malapposition this late after device implantation has previously not been reported.
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spelling pubmed-79527712021-03-17 Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition Mazzone, Steven Kohli, Utkarsh Aziz, Zaid A. Beaser, Andrew D. Upadhyay, Gaurav A. Tung, Roderick Nayak, Hemal M. Indian Pacing Electrophysiol J Case Report Permanent pacemaker (PPM) malfunction due to electrical connection problems such as a loose set screw or lead-header malapposition is extremely rare. We present a patient with complete heart block (CHB) who had PPM malfunction and recurrent syncope, late (14 months) after initial implantation, which was caused by the ventricular lead pin disengagement from the header resulting in oversensing due to noise, pacing inhibition and recurrent syncope. PPM due to lead-header malapposition this late after device implantation has previously not been reported. Elsevier 2020-11-30 /pmc/articles/PMC7952771/ /pubmed/33271274 http://dx.doi.org/10.1016/j.ipej.2020.11.019 Text en © 2020 Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Mazzone, Steven
Kohli, Utkarsh
Aziz, Zaid A.
Beaser, Andrew D.
Upadhyay, Gaurav A.
Tung, Roderick
Nayak, Hemal M.
Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition
title Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition
title_full Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition
title_fullStr Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition
title_full_unstemmed Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition
title_short Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition
title_sort late presentation of recurrent syncope after permanent pacemaker implantation due to lead−header malapposition
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7952771/
https://www.ncbi.nlm.nih.gov/pubmed/33271274
http://dx.doi.org/10.1016/j.ipej.2020.11.019
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