Document Detail


Preservation of ventricular capture by anodal stimulation after dislodgment of an epicardial electrode.
MedLine Citation:
PMID:  16441724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 58-year-old man had a bipolar epicardial left ventricular (LV) implanted for cardiac resynchronization therapy after a failed transvenous approach. The system was programmed in an LV tip-right ventricular coil configuration, but during follow-up loss of LV capture with recurrence of symptoms occurred. Changing to an LV tip-LV ring configuration restored LV pacing through anodal capture. Loss of cathodal capture was caused by dislodgment of the cathodal electrode due to a broken fixation suture. Anodal capture was used to reinstall resynchronization therapy, which resulted in clinical improvement. There were no adverse effects from anodal stimulation in a follow-up period of 6 months.
Authors:
Hans Römers; Frank A Bracke; Albert Meijer; Berry M Van Gelder
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  29     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-30     Completed Date:  2006-07-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  99-101     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Bundle-Branch Block / therapy*
Defibrillators, Implantable*
Electrocardiography
Electrodes, Implanted*
Equipment Failure
Heart Failure / therapy*
Heart Ventricles / physiopathology
Humans
Male
Middle Aged

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


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