Late presentation of recurrent syncope after permanent pacemaker implantation due to Lead−Header malapposition

Steven Mazzone, Utkarsh Kohli, Zaid A. Aziz, Andrew D. Beaser, Gaurav A. Upadhyay, Roderick Tung, Hemal M. Nayak

Research output: Contribution to journalArticlepeer-review

Abstract

Permanent pacemaker (PPM) malfunction due to electrical connection problems such as a loose set screw or lead-header malapposition is extremely rare. We present a patient with complete heart block (CHB) who had PPM malfunction and recurrent syncope, late (14 months) after initial implantation, which was caused by the ventricular lead pin disengagement from the header resulting in oversensing due to noise, pacing inhibition and recurrent syncope. PPM due to lead-header malapposition this late after device implantation has previously not been reported.

Original languageEnglish (US)
Pages (from-to)124-127
Number of pages4
JournalIndian Pacing and Electrophysiology Journal
Volume21
Issue number2
DOIs
StatePublished - Mar 1 2021
Externally publishedYes

Keywords

  • Lead-header malapposition
  • Oversensing
  • Pacemaker malfunction
  • Recurrent syncope

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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