Document Detail


Acute pericarditis resulting from an endocardial active fixation screw-in atrial lead.
MedLine Citation:
PMID:  7802757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We examined the occurrence of acute pericarditis after pacemaker implantation in 123 consecutive patients (61 males, 62 females, ages 17-87 years) in whom a newer atrial active fixation bipolar lead was inserted endocardially in the right atrium for dual chamber pacing. The atrial leads were positioned to obtain the best possible pacing and sensing thresholds, after an initial attempt was made for insertion into the right atrial appendage or medially into the right atrial septum. Six patients (4.9%) developed acute symptomatic pericarditis with effusion within 24 hours of implantation. Of these six patients, four had leads screwed into the lateral wall, and the other two had leads placed in the anterolateral wall. The lead implantation parameters between patients with pericarditis and those without did not show any significant difference in the atrial P wave amplitude (2.3 +/- 0.4 vs 2.9 +/- 0.9 mV), pacing threshold (1.1 +/- 0.2 vs 1.1 +/- 0.4 V), or resistance (524 +/- 112 vs 480 +/- 94 ohms). All symptomatic patients were treated with nonsteroidal anti-inflammatory drugs with symptoms resolving in 1-2 weeks. We conclude that: (1) a significant number of patients (4.9%) developed acute symptomatic pericarditis after insertion of this type of atrial fixation lead; (2) because of the lead design, the implantation parameters could not be taken to predict the occurrence of pericarditis; and (3) caution should be taken for the insertion of this lead into the thin atrial wall.
Authors:
T O Greene; A S Portnow; S K Huang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  17     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-04-28     Completed Date:  1994-04-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  21-5     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Massachusetts Medical Center, Worcester 01655.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Electrodes, Implanted / adverse effects
Female
Heart Atria
Humans
Male
Middle Aged
Pacemaker, Artificial*
Pericarditis / epidemiology,  etiology*
Comments/Corrections
Comment In:
Pacing Clin Electrophysiol. 1994 Jul;17(7):1323   [PMID:  7937240 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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