Loss of Right Atrial Pacing Lead Capture Due to Myocardial Infarction Obscuring Diagnosis on Electrocardiogram.

Autor: McCaffrey JA; Electrophysiology Section, Cardiovascular Medicine Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Dhakal BP; Electrophysiology Section, Cardiovascular Medicine Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Nathan AS; Interventional Cardiology Section, Cardiovascular Medicine Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Ortega-Legaspi J; Advanced Heart Failure Section, Cardiovascular Medicine Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Fiorilli PN; Interventional Cardiology Section, Cardiovascular Medicine Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Mather PJ; Advanced Heart Failure Section, Cardiovascular Medicine Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA., Supple GE; Electrophysiology Section, Cardiovascular Medicine Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: JACC. Case reports [JACC Case Rep] 2022 Jul 20; Vol. 4 (14), pp. 890-894. Date of Electronic Publication: 2022 Jul 20 (Print Publication: 2022).
DOI: 10.1016/j.jaccas.2022.06.001
Abstrakt: Right coronary artery occlusion can lead to failure to capture from the right atrial pacing lead. In this case, acute infarction resulted in failure of the right atrial lead to capture and thus increased right ventricular pacing. The new ventricular pacing masked the diagnosis of acute myocardial infarction. ( Level of Difficulty: Intermediate. ).
Competing Interests: Research funding provided by the Cyrus and Janet Ansary Electrophysiology Research and Educational Fund. The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
(© 2022 The Authors.)
Databáze: MEDLINE