Transient rise in His-lead threshold due to acute myocardial infarction.


Journal

Pacing and clinical electrophysiology : PACE
ISSN: 1540-8159
Titre abrégé: Pacing Clin Electrophysiol
Pays: United States
ID NLM: 7803944

Informations de publication

Date de publication:
06 2019
Historique:
received: 17 09 2018
revised: 19 11 2018
accepted: 14 01 2019
pubmed: 20 1 2019
medline: 18 3 2020
entrez: 20 1 2019
Statut: ppublish

Résumé

An 85-year-old male was admitted to our center with a non-ST elevation myocardial infarction. The patient had a dual-chamber pacemaker in situ with an atrial and His lead. A transient increase in His threshold and loss of nonselective capture occurred at the presentation of right coronary artery infarction, peaking during rotational atherectomy therapy causing loss of capture and complete atrioventricular block. A follow-up interrogation, 2 weeks postrevascularization, showed a return to a normal nonselective capture morphology and threshold measurements. Physicians should be aware of this complication in patients with His leads, particularly those with a history of coronary artery disease.

Identifiants

pubmed: 30659633
doi: 10.1111/pace.13612
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

754-757

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Auteurs

Robert Hall (R)

Barts Heart Centre, West Smithfield, London, England.

Daniel A Jones (DA)

Barts Heart Centre, West Smithfield, London, England.

Amal Muthumala (A)

Barts Heart Centre, West Smithfield, London, England.

Roshan Weerackody (R)

Barts Heart Centre, West Smithfield, London, England.

Afzal Sohaib (A)

Barts Heart Centre, West Smithfield, London, England.

Christopher Monkhouse (C)

Barts Heart Centre, West Smithfield, London, England.

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Classifications MeSH