A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads
2008
Case of Syncope Due to Defibrillator Lead Issues
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Salukhe Tushar V, Wright Ian B, Wright Matthew PhD MRCP, Kanagaratnam Prapa PhD MRCP, O'Neill Mark D DPhil MRCP
Primary Institution: St Mary’s Hospital and Imperial College, London, UK
Conclusion
The case illustrates how myopotential oversensing from integrated bipolar leads can lead to pacing inhibition and syncope.
Supporting Evidence
- The patient experienced syncope due to pacing inhibition from myopotential oversensing.
- Device interrogation revealed multiple diverted therapies in the VF zone.
- Symptoms resolved after the introduction of a new dedicated bipolar pacing lead.
Takeaway
A woman had fainting spells because her heart device mistakenly thought her muscles were causing problems, but fixing the device helped her feel better.
Methodology
Case report detailing the patient's history, device interrogation, and management strategies.
Limitations
The findings are based on a single case, limiting generalizability.
Participant Demographics
60-year-old female with hypertrophic cardiomyopathy.
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