Unexpected loss of atrial tracking caused by interaction between temporary and permanent right ventricular leads during implantation of a biventricular pacemaker

Kuan Cheng Chang; Jan Yow Chen; Jen Jyh Lin; Jui Sung Hung

doi:10.1111/j.1540-8159.2004.00572.x

Unexpected loss of atrial tracking caused by interaction between temporary and permanent right ventricular leads during implantation of a biventricular pacemaker

Kuan Cheng Chang^*
, Jan Yow Chen
, Jen Jyh Lin
, Jui Sung Hung

^*Corresponding author for this work

China Medical University Taichung

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

7 Scopus citations

Abstract

This report describes a patient who underwent implantation of an atriobiventricular pacemaker following AV junction ablation and insertion of a temporary right ventricular (RV) pacemaker. During implantation, intermittent loss of sinus P wave tracking occurred when the three permanent leads were connected to the generator. Analysis of marker annotation disclosed intermittent abnormal ventricular sensing that reinitiated postventricular atrial blanking and caused failure of P wave tracking. This phenomenon disappeared after removing the temporary RV lead, but not by turning off the temporary pacemaker. We assume that mechanical contact between the temporary and the permanent RV leads is the underlying mechanism.

Original language	English
Pages (from-to)	998-1001
Number of pages	4
Journal	PACE - Pacing and Clinical Electrophysiology
Volume	27
Issue number	7
DOIs	https://doi.org/10.1111/j.1540-8159.2004.00572.x
State	Published - 07 2004
Externally published	Yes

Keywords

Biventricular pacing
Mechanical interaction
Oversensing

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10.1111/j.1540-8159.2004.00572.x

Cite this

@article{0a9d5ff64d974217b0a4a0b4436a6ac1,

title = "Unexpected loss of atrial tracking caused by interaction between temporary and permanent right ventricular leads during implantation of a biventricular pacemaker",

abstract = "This report describes a patient who underwent implantation of an atriobiventricular pacemaker following AV junction ablation and insertion of a temporary right ventricular (RV) pacemaker. During implantation, intermittent loss of sinus P wave tracking occurred when the three permanent leads were connected to the generator. Analysis of marker annotation disclosed intermittent abnormal ventricular sensing that reinitiated postventricular atrial blanking and caused failure of P wave tracking. This phenomenon disappeared after removing the temporary RV lead, but not by turning off the temporary pacemaker. We assume that mechanical contact between the temporary and the permanent RV leads is the underlying mechanism.",

keywords = "Biventricular pacing, Mechanical interaction, Oversensing",

author = "Chang, \{Kuan Cheng\} and Chen, \{Jan Yow\} and Lin, \{Jen Jyh\} and Hung, \{Jui Sung\}",

year = "2004",

month = jul,

doi = "10.1111/j.1540-8159.2004.00572.x",

language = "英语",

volume = "27",

pages = "998--1001",

journal = "PACE - Pacing and Clinical Electrophysiology",

issn = "0147-8389",

publisher = "John Wiley and Sons Inc",

number = "7",

}

Unexpected loss of atrial tracking caused by interaction between temporary and permanent right ventricular leads during implantation of a biventricular pacemaker. / Chang, Kuan Cheng; Chen, Jan Yow; Lin, Jen Jyh et al.
In: PACE - Pacing and Clinical Electrophysiology, Vol. 27, No. 7, 07.2004, p. 998-1001.

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

TY - JOUR

T1 - Unexpected loss of atrial tracking caused by interaction between temporary and permanent right ventricular leads during implantation of a biventricular pacemaker

AU - Chang, Kuan Cheng

AU - Chen, Jan Yow

AU - Lin, Jen Jyh

AU - Hung, Jui Sung

PY - 2004/7

Y1 - 2004/7

N2 - This report describes a patient who underwent implantation of an atriobiventricular pacemaker following AV junction ablation and insertion of a temporary right ventricular (RV) pacemaker. During implantation, intermittent loss of sinus P wave tracking occurred when the three permanent leads were connected to the generator. Analysis of marker annotation disclosed intermittent abnormal ventricular sensing that reinitiated postventricular atrial blanking and caused failure of P wave tracking. This phenomenon disappeared after removing the temporary RV lead, but not by turning off the temporary pacemaker. We assume that mechanical contact between the temporary and the permanent RV leads is the underlying mechanism.

AB - This report describes a patient who underwent implantation of an atriobiventricular pacemaker following AV junction ablation and insertion of a temporary right ventricular (RV) pacemaker. During implantation, intermittent loss of sinus P wave tracking occurred when the three permanent leads were connected to the generator. Analysis of marker annotation disclosed intermittent abnormal ventricular sensing that reinitiated postventricular atrial blanking and caused failure of P wave tracking. This phenomenon disappeared after removing the temporary RV lead, but not by turning off the temporary pacemaker. We assume that mechanical contact between the temporary and the permanent RV leads is the underlying mechanism.

KW - Biventricular pacing

KW - Mechanical interaction

KW - Oversensing

UR - https://www.scopus.com/pages/publications/3242772145

U2 - 10.1111/j.1540-8159.2004.00572.x

DO - 10.1111/j.1540-8159.2004.00572.x

M3 - 文章

C2 - 15271023

AN - SCOPUS:3242772145

SN - 0147-8389

VL - 27

SP - 998

EP - 1001

JO - PACE - Pacing and Clinical Electrophysiology

JF - PACE - Pacing and Clinical Electrophysiology

IS - 7

ER -

Unexpected loss of atrial tracking caused by interaction between temporary and permanent right ventricular leads during implantation of a biventricular pacemaker

Abstract

Keywords

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