Document Detail

"Sagging heart syndrome": a cause of acute lead dislodgment in two patients.
MedLine Citation:
PMID:  10087554     Owner:  NLM     Status:  MEDLINE    
Acute passive fixation atrial lead dislodgment occurred due to an unexpected and marked postural descent of the heart after permanent pacemaker implantation in two patients. Sagging of the heart in these two individuals may have been related to a history of morbid obesity followed by weight loss of over 100 pounds. Lead replacement with active fixation leads was required in both cases. The term "sagging heart syndrome" is proposed to describe this clinical entity. In certain adult populations, such as in patients with a history of significant weight loss, the "sagging heart syndrome" may represent a previously unrecognized cause of acute lead dislodgment.
D Iskos; K G Lurie; J J Shultz; W H Fabian; D G Benditt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  22     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-05-17     Completed Date:  1999-05-17     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:  371-5     Citation Subset:  IM    
Department of Medicine, University of Minnesota School of Medicine, Minneapolis 55455, USA.
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MeSH Terms
Electrodes, Implanted
Equipment Failure
Gastric Bypass
Heart / physiopathology*
Heart Block / therapy
Middle Aged
Obesity, Morbid / physiopathology,  therapy
Pacemaker, Artificial*
Posture / physiology
Sick Sinus Syndrome / therapy
Supine Position / physiology
Weight Loss

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

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