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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
Authors: Steven Mazzone; Utkarsh Kohli; Zaid A. Aziz; Andrew D. Beaser; Gaurav A. Upadhyay; Roderick Tung; Hemal M. Nayak
Source: Indian Pacing and Electrophysiology Journal, Vol 21, Iss 2, Pp 124-127 (2021)
Publisher Information: Elsevier, 2021.
Publication Year: 2021
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Pacemaker malfunction; Oversensing; Recurrent syncope; Lead-header malapposition; Diseases of the circulatory (Cardiovascular) system; RC666-701
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.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0972-6292
Relation: http://www.sciencedirect.com/science/article/pii/S0972629220301510; https://doaj.org/toc/0972-6292
DOI: 10.1016/j.ipej.2020.11.019
Access URL: https://doaj.org/article/f244bbdfb70e4f78bf2c5eef4337c2c5
Accession Number: edsdoj.f244bbdfb70e4f78bf2c5eef4337c2c5
Database: Directory of Open Access Journals