Integrated home monitoring predicts lead failure in a pacemaker dependent 4-year-old girl
2007; Oxford University Press; Volume: 9; Issue: 3 Linguagem: Inglês
10.1093/europace/eum003
ISSN1532-2092
AutoresPeter Zartner, R. Handke, A. M. Brecher, Katja Schneider,
Tópico(s)Cardiac electrophysiology and arrhythmias
ResumoA 4-year-old girl with post-surgical complete atrioventricular block received an epicardial dual chamber pacemaker system. During further growth intermittent exit block occurred, first misinterpreted as neurological seizures. The epicardial lead was replaced using a transvenous approach, and a pacemaker with an integrated home monitoring facility was implanted. After her discharge, a rise in the pacing threshold automatically initiated an event message. On the basis of this information, the patient was called in and imminent dislodgement of the ventricular lead was diagnosed by x-ray. The lead was repositioned and was found stable over 1-year follow-up.
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