Late rising right ventricular pacing lead threshold four yearsafter implantation of a dual chamber pacemaker
H. Zaky, H. El Zein, A. Al-Mulla
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DOI: 10.4236/ojim.2011.11001   PDF    HTML     7,184 Downloads   11,640 Views  

Abstract

Late rising in pacing threshold is an uncommon complication of permanent pacing. Treatment with high dose systemic steroid could spare the patient another procedure. We report a case of late rising pacing threshold that responded to high dose sys-temic steroid which lowered the pacing threshold to one volt, then rose again to around 2 volts.

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Zaky, H. , El Zein, H. and Al-Mulla, A. (2011) Late rising right ventricular pacing lead threshold four yearsafter implantation of a dual chamber pacemaker. Open Journal of Internal Medicine, 1, 1-3. doi: 10.4236/ojim.2011.11001.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Beanland DS, Akyureckli Y, Keon WJ: Prednisolone in the management of exit block, proceeding of the sixth world symposium on cardiac pacing, Montreal, Quebec, October 2-5, 1979, P 18-3.
[2] Risby O, Meibom J, Nyboe I, Schuller H :the influence of prednisolone on pacemaker threshold (abstract). Pacing clinical electrophysiol 4; A-68, 1981.
[3] Nagatomo Y, Ogawa T, et al: Pacing failure due to markedly increased stimulation threshold two years after implantation: Successful management with oral prednisolone. A case report. Pace 12: 1034, 1989.
[4] PrestonTA, Judge RD, Lucchesi BR, et al: Myocardial threshold in patients in patients with artificial pacemakers. Am J Cardiol 18: 83, 1966.
[5] 5-A Ferraro, A.Sabena Masi, A.Mazza. Increased stimulation threshold in a patient with autoimmune disease: successful management with oral prednisolone and azathioprine. EP Europace 11:4, 527-529, 2009.

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