title: Ventricular pacing from the atrial channel of a DDD pacemaker: a consequence of pacemaker twiddling?
abstract: The breakdown of pacemaker lead insulation under conditions of mechanical stress leading to failure of pacing is well recognized. We present a case where adjacent breakdown of insulation in two unipolar pacing leads resulted in inappropriate ventricular pacing. Replacement of the leads rectified the problem.
authors.affiliation: Department of Cardiology, St. Bartholomew's Hospital, West Smithfield, London, England.
authors.forename: M H
authors.initials: MH
authors.lastname: Anderson
authors.forename: A W
authors.initials: AW
authors.lastname: Nathan
mesh_terms: D000328:Adult; D001145:Arrhythmias, Cardiac / Q000209:etiology; D004562:Electrocardiography; D004868:Equipment Failure; D005260:Female; D006325:Heart Atria / Q000503:physiopathology; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D010138:Pacemaker, Artificial