Monomorphic ventricular tachycardia caused by electrocautery during pacemaker generator change in a patient with normal left ventricular function.
Pacemaker generator replacement is a simple procedure that is mostly done on outpatient basis. Electrocautery is almost universally used for bleeding control and tissue dissection. Ventricular fibrillation (VF) caused by electrocautery in these procedures is a very uncommon occurrence and an underappreciated possibility with modern day devices. We report a case of monomorphic ventricular tachycardia induced by electrocautery in a patient with normal left ventricular ejection fraction during elective pacemaker generator change.
Goel
Anil K
AK
Division of Cardiology, William Beaumont Hospital, Royal Oak, Michigan, USA. anil_goel@hotmail.com
Korotkin
Steven
S
Walsh
Daniel
D
Bess
Marianne
M
Frawley
Susan
S
D000368:Aged; D020878:Device Removal / Q000009:adverse effects; D004564:Electrocoagulation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D017180:Tachycardia, Ventricular / Q000209:etiology* / Q000517:prevention & control*; D018487:Ventricular Dysfunction, Left / Q000150:complications