Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition

Steven Mazzone; Utkarsh Kohli; Zaid A. Aziz; Andrew D. Beaser; Gaurav A. Upadhyay; Roderick Tung; Hemal M. Nayak

doi:10.1016/j.ipej.2020.11.019

Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition

Steven Mazzone
, Utkarsh Kohli
, Zaid A. Aziz
, Andrew D. Beaser
, Gaurav A. Upadhyay
, Roderick Tung
, Hemal M. Nayak

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	124-127
Number of pages	4
Journal	Indian Pacing and Electrophysiology Journal
Volume	21
Issue number	2
DOIs	https://doi.org/10.1016/j.ipej.2020.11.019
State	Published - Mar 1 2021
Externally published	Yes

Keywords

Lead-header malapposition
Oversensing
Pacemaker malfunction
Recurrent syncope

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.ipej.2020.11.019

Cite this

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title = "Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition",

abstract = "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.",

keywords = "Lead-header malapposition, Oversensing, Pacemaker malfunction, Recurrent syncope",

author = "Steven Mazzone and Utkarsh Kohli and Aziz, \{Zaid A.\} and Beaser, \{Andrew D.\} and Upadhyay, \{Gaurav A.\} and Roderick Tung and Nayak, \{Hemal M.\}",

note = "Publisher Copyright: {\textcopyright} 2020 Indian Heart Rhythm Society",

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doi = "10.1016/j.ipej.2020.11.019",

language = "English (US)",

volume = "21",

pages = "124--127",

journal = "Indian Pacing and Electrophysiology Journal",

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number = "2",

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TY - JOUR

T1 - Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition

AU - Mazzone, Steven

AU - Kohli, Utkarsh

AU - Aziz, Zaid A.

AU - Beaser, Andrew D.

AU - Upadhyay, Gaurav A.

AU - Tung, Roderick

AU - Nayak, Hemal M.

PY - 2021/3/1

Y1 - 2021/3/1

N2 - 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.

AB - 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.

KW - Lead-header malapposition

KW - Oversensing

KW - Pacemaker malfunction

KW - Recurrent syncope

UR - https://www.scopus.com/pages/publications/85097062559

UR - https://www.scopus.com/pages/publications/85097062559#tab=citedBy

U2 - 10.1016/j.ipej.2020.11.019

DO - 10.1016/j.ipej.2020.11.019

M3 - Article

AN - SCOPUS:85097062559

SN - 0972-6292

VL - 21

SP - 124

EP - 127

JO - Indian Pacing and Electrophysiology Journal

JF - Indian Pacing and Electrophysiology Journal

IS - 2

ER -

Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition

Abstract

Keywords

ASJC Scopus subject areas

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