Ventricular pacing redundancy to prevent loss of capture: a fail-safe for pacemaker-dependent patients.
Patients who are entirely dependent on ventricular pacing are typically at the mercy of a single ventricular lead and pacemaker output in order to provide physiologic support. This study presents a number of high-risk cases (two of which previously exhibited failure with standard pacing) in which ventricular pacing redundancy (VPR) was utilized in order to provide additional backup. VPR was achieved using a variety of configurations, all of which employed a second ventricular lead and the potential for additional ventricular pacing. Seven cases are presented in which some form of VPR was successfully implemented in order to prevent device failure and resultant hemodynamic collapse.
Cohen
Todd J
TJ
Division of Cardiology, Division of Cardiology, Winthrop University Hospital, 120 Mineola Blvd., Suite 500, Mineola, NY 11501, USA.
Inamdar
Vatsal
V
Asheld
Wilbur
W
Doorty
Gerard
G
D000368:Aged; D000369:Aged, 80 and over; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects / Q000379:methods*; D017147:Defibrillators, Implantable / Q000009:adverse effects; D004567:Electrodes, Implanted; D005260:Female; D006327:Heart Block / Q000628:therapy*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012189:Retrospective Studies; D017180:Tachycardia, Ventricular / Q000628:therapy*