Thinking inside the box: Custom pacemaker improves device longevity in a congenital heart patient
Autor: | Andrew J. Ries, Lisa Von Wald, Henri Roukoz, Rachel Brucker, Stéphane Salerno |
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Rok vydání: | 2020 |
Předmět: |
Epicardial lead
medicine.medical_specialty Generator (computer programming) Heart disease business.industry media_common.quotation_subject Longevity 030204 cardiovascular system & hematology Fontan physiology medicine.disease 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine medicine Cardiology 030212 general & internal medicine Cardiology and Cardiovascular Medicine business Lead (electronics) media_common |
Zdroj: | Journal of Cardiovascular Electrophysiology. 31:2213-2215 |
ISSN: | 1540-8167 1045-3873 |
DOI: | 10.1111/jce.14603 |
Popis: | Patients with congenital heart disease have unique pacing challenges and often require epicardial systems. High pacing threshold is one of the major factors that decrease these systems' durability. Sometimes surgical reintervention or lead replacement is difficult or prohibitive in these patients due to repeated surgeries and extensive epicardial scar. We present a case report of a patient with Fontan physiology and chronically high epicardial lead pacing thresholds requiring frequent generator changes and a unique solution focusing on improving generator longevity. |
Databáze: | OpenAIRE |
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