Preservation of ventricular capture by anodal stimulation after dislodgment of an epicardial electrode

被引:2
|
作者
Römers, H [1 ]
Bracke, FA [1 ]
Meijer, A [1 ]
Van Gelder, BM [1 ]
机构
[1] Catharina Hosp, Dept Cardiol, NL-5623 EJ Eindhoven, Netherlands
来源
关键词
anodal capture; epicardial electrode; electrode dislodgment; cardiac resynchronization therapy;
D O I
10.1111/j.1540-8159.2006.00288.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 58-year-old man had a bipolar epicardial left ventricular (LV) implanted for cardiac resynchronization therapy after a failed transvenous approach. The system was programmed in an LV tip-right ventricular coil configuration, but during follow-up loss of LV capture with recurrence of symptoms occurred. Changing to an LV tip-LV ring configuration restored LV pacing through anodal capture. Loss of cathodal capture was caused by dislodgment of the cathodal electrode due to a broken fixation suture. Anodal capture was used to reinstall resynchronization therapy, which resulted in clinical improvement. There were no adverse effects from anodal stimulation in a follow-up period of 6 months.
引用
收藏
页码:99 / 101
页数:3
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