Accidental Conduction System Pacing in Patient with Displaced Cardiac Resynchronization Therapy Leads.
| Autor: | Pandya V; Department of Medicine, Montefiore Medical Center, 111 Ease 210th Street, Bronx, NY 10467, USA., Krumerman A; Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, 111 East 210th Street, Forman 2 Cardiology, Bronx, NY 10467, USA. Electronic address: akrumerm@montefiore.org. |
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| Jazyk: | angličtina |
| Zdroj: | Cardiac electrophysiology clinics [Card Electrophysiol Clin] 2024 Jun; Vol. 16 (2), pp. 163-168. Date of Electronic Publication: 2023 Nov 10. |
| DOI: | 10.1016/j.ccep.2023.10.017 |
| Abstrakt: | A 69-year-old woman with a history of heart failure with reduced ejection fraction presented for device interrogation of her cardiac implantable electronic device (CIED), revealing lead and pulse generator displacement. Surprisingly, she exhibited a narrow QRS on the ECG despite an underlying right bundle branch block, suggesting unintentional conduction system pacing (CSP). Traditional cardiac resynchronization therapy has been widely used for patients with heart failure, but alternatives like CSP are emerging as viable options. Given the global rise in CIED utilization, regular follow-up, device troubleshooting, and embracing remote monitoring are essential to manage and optimize patient outcomes. Competing Interests: Disclosure No disclosures to report. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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