title: Fatal outcome in a pacemaker-dependent patient.
abstract: The recent advisory of Medtronic Sprint Fidelis leads has resulted in significant controversy over proper management of patients. The current manufacture's guidelines recommend programming specific device alerts with close follow-up and implantable cardioverter-defibrillator lead replacement in patients with evidence of breach in lead integrity. Recently, several studies have identified significant limitations in this method of surveillance. We report the case of a pacemaker-dependent patient with an ischemic cardiomyopathy, who presented with cardiac arrest and evidence of fracture of the pace/sense portion of a Sprint Fidelis lead during postmortem interrogation. Likely mechanisms leading to his ultimate demise are discussed.
authors.affiliation: Mount Sinai Medical Center, New York, New York 10029, USA. mundavia@aol.com
authors.forename: Manish
authors.initials: M
authors.lastname: Undavia
authors.forename: Avi
authors.initials: A
authors.lastname: Fischer
authors.forename: Davendra
authors.initials: D
authors.lastname: Mehta