Santosh K. Padala, MD, Kenneth A. Ellenbogen, MD, FHRS, Jayanthi N

Slides:

Advertisements

Similar presentations

Pulmonary arterial pressure sensing in a patient with left ventricular assist device during ventricular arrhythmia Jill R. Harris, MSN, ACNP-C, CNS,

Advertisements

Inhibition of pacing in a dependent patient with an implantable cardioverter-defibrillator and a left ventricular assist device Michele Murphy, MD, Timothy.

Inhibition of pacing in a dependent patient with an implantable cardioverter-defibrillator and a left ventricular assist device Michele Murphy, MD, Timothy.

Premature ventricular contraction–induced polymorphic ventricular tachycardia after leadless pacemaker implantation: A unique adverse effect of leadless.

Atrioventricular hysteresis pacemaker mode promoting a short-long-short sequence at the onset of ventricular tachycardia Neiberg de Alcantara Lima, MD,

Erroneous shock by an AED: Importance of obtaining AED tracing to prevent inappropriate ICD implantation Brian J. Cross, MD, Mark S. Link, MD, FHRS

His-bundle pacing in a patient with dextrocardia, severe systolic dysfunction, and complete atrioventricular block Manuel Molina-Lerma, MD, Juan Jiménez-Jáimez,

Isolated left bundle branch block progressing to complete heart block and asystole: A novel presentation of a desmin mutation Addison S. Gearhart, MD,

Swimming pool saline chlorination units and implantable cardiac devices: A source for potentially fatal electromagnetic interference John Wight, BS,

A case of paroxysmal atrioventricular block–induced cardiac arrest

Paradoxical reflex bradycardia after epinephrine infusion for arrhythmia induction in the electrophysiology laboratory Timothy R. Larsen, DO, Karoly.

Nicholas M. Cundiff, DO, Jeffrey A. Robinson, MD, Bryan C

Left ventricle penetration—A rare complication of transseptal puncture and catheter ablation for supraventricular tachycardia Nelson Chavarria, MD, Seth.

Prakash G. Suryanarayana, MD, David S. Frankel, MD, FHRS, Francis E

Is it bradycardia or something else causing symptoms?

Quinidine effective for the management of ventricular and atrial arrhythmias associated with Brugada syndrome Laura Halperin, BSc, Greg Mellor, MD, Mario.

Ruchit Shah, MD, Vineet Kumar, MD, FHRS HeartRhythm Case Reports

Permanent His bundle pacing at the time of atrioventricular node ablation: A 3- dimensional mapping approach Sukit Ringwala, MD, MPH, Bradley P. Knight,

Response to atrial arrhythmias in an atrioventricular synchronous ventricular leadless pacemaker: A case report in a paroxysmal atrial fibrillation patient

Respiratory rate trending as a cause for atrial lead noise: A first report in an implantable cardioverter-defibrillator patient Isla McClelland, MD,

Premature ventricular contraction response-induced new-onset atrial fibrillation Daniel J. Friedman, MD, Tiffany Chasten, RN, Kenya Anderson, RN, Jessica.

Dichotomous roles of TBX3 in the establishment of atrioventricular conduction pathways in the human heart Hoang H. Nguyen, MD, Dorothy K. Grange, MD,

Increased threshold in nonselective His-bundle pacing suspected to be caused by amiodarone JoonHyuk Kim, MD, Seth Goldbarg, MD, FHRS, Steven Leung, MD,

Claudio Hadid, MD, Sergio Gonzalez, MD, Jesús Almendral, MD, PhD

Atrioventricular block and pause-dependent torsade de pointes

Unusual mechanism of complete atrioventricular block following atrial flutter ablation Frederic Georger, MD, Luc De Roy, MD, Camelia Sorea, Jean-Paul.

Left axillary active can positioning markedly reduces defibrillation threshold of a transvenous defibrillator failing to defibrillate at maximum output

Pulmonary arterial pressure sensing in a patient with left ventricular assist device during ventricular arrhythmia Jill R. Harris, MSN, ACNP-C, CNS,

T-wave oversensing due to left ventricle–only pacing in cardiac resynchronization therapy optimization algorithm Philippe André, MD, MSc, Benoit Plourde,

Daniel P. Morin, MD, MPH, FACC, FHRS HeartRhythm Case Reports

Jeffrey Ho, MD, Jordan M. Prutkin, MD, MHS, FHRS

Termination of anticoagulation therapy at 45 days after concomitant atrial fibrillation catheter ablation and left atrial appendage occlusion resulting.

Complete congenital heart block: A case of multilevel block

Rapid reversal of right ventricular pacing–induced cardiomyopathy by His bundle pacing Amit J. Thosani, MD, FHRS, Emerson Liu, MD, George Shaw, MD, William.

Emilio L. Garcia, MD, Robert Kim, MD, Steve S. Hsu, MD, FHRS, John N

An inferior myocardial infarction with conduction abnormalities

Expanding the electrical phenotype of NKX2-5 mutations: Ventricular tachycardia, atrial fibrillation, and complete heart block within one family Simone.

Dual intraventricular response after cardiac resynchronization

Intravenous sotalol for conversion of atrial flutter in infants

QRS normalization during atrial pacing in a patient with complete left bundle branch block: What is your diagnosis? Oholi Tovia-Brodie, MD, Yoav Michowitz,

Managing cross talk between a subcutaneous implantable cardioverter-defibrillator and a dual-chamber unipolar pacemaker system Konstantinos Kossidas,

Transvenous approach to pacemaker lead implantation for sinus node dysfunction after extracardiac lateral tunnel Fontan conduit placement Edward O’Leary,

Overcoming left bundle branch block by permanent His bundle pacing: Evidence of longitudinal dissociation in the His via recordings from a permanent pacing.

Polymorphic ventricular tachycardia due to change in pacemaker programming Ihab Elsokkari, MBBCh, MMed, FRACP, Amir Abdelwahab, MBBCh, MSc, MD, Ratika.

Duelling pacemakers: Unexpected pacemaker interaction resulting from a proprietary rate smoothing algorithm Justin M. Cloutier, MD, Colette M. Seifer,

Mitral valve repair results in suppression of ventricular arrhythmias and normalization of repolarization abnormalities in mitral valve prolapse Wael.

Haseeb Jafri, MD, Alan Cheng, MD, FHRS HeartRhythm Case Reports

Hiroko Asakai, MD, Laura Fenwick, BSc, Robert M. Hamilton, MD, FRCP(C)

Complexity of ranolazine and phenytoin use in an infant with long QT syndrome type 3 Reina Bianca Tan, MD, Sujata Chakravarti, MD, Melissa Busovsky-McNeal,

Rare desmin variant causing penetrant life-threatening arrhythmic cardiomyopathy Ad W.G.J. Oomen, MD, Katherine Jones, BSc, BTeach, Laura Yeates, BSc.

An unusual cause of HV prolongation

Elizabeth V. Saarel, MD, FHRS, Susan P. Etheridge, MD, FHRS, David G

Dobutamine-induced midcavitary gradients do not cause dyspnea

Polymorphic ventricular tachycardia associated with an episode of reflex syncope: Is this the needle in the haystack? Matthew A. Tester, Brooke C.D.

Muhammad Amer, MD, MHS, Whitney M. Burrows, MD, Timm M

Colin Yeo, MBBS, Martin Green, MD, Robert Lemery, MD, FHRS

Intermittent failure to capture: What is the mechanism?

Lengthening the atrioventricular delay reduces large left atrial v waves and dyspnea after atrial fibrillation and tachycardia ablation Raman Mitra,

Extraction of a Micra Transcatheter Pacing System: First-in-human experience Saima Karim, DO, Medhat Abdelmessih, MD, Mark Marieb, MD, FHRS, Eric Reiner,

Philip M. Chang, MD, FHRS, CEPS, Akash R

HeartRhythm Case Reports

Abdul R. Mourad, MD, Michael H. Kim, MD, FHRS, Malcolm M

Philip M. Chang, MD, FHRS, CEPS, Rahul N. Doshi, MD, FHRS, FACC

Parsing a perplexing paroxysmal pathway

Jeffrey Y. Lin, MD, Petar Igic, MD, FHRS, Kurt S

Resolution of new left bundle branch block and ventricular tachycardia with immunosuppressive therapy in a patient with cardiac sarcoidosis Aatish Garg,

Volume 12, Issue 2, Pages (February 2015)

T-wave oversensing during left ventricular pacing causing inappropriate defibrillation Joshua Payne, MD, MPH, Sandeep Gautam, MD, MPH, FHRS, Richard Weachter,

Jeffrey Munro, DO, Win-Kuang Shen, MD, FHRS, Komandoor Srivathsan, MD

HeartRhythm Case Reports

Presentation transcript:

Intermittent loss of capture in a His bundle pacemaker: What is the cause? Santosh K. Padala, MD, Kenneth A. Ellenbogen, MD, FHRS, Jayanthi N. Koneru, MD HeartRhythm Case Reports Volume 3, Issue 11, Pages 555-558 (November 2017) DOI: 10.1016/j.hrcr.2017.07.018 Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 1 Telemetry strips showing intermittent third-degree atrioventricular block. HeartRhythm Case Reports 2017 3, 555-558DOI: (10.1016/j.hrcr.2017.07.018) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 2 Atrial Capture Management algorithm. HeartRhythm Case Reports 2017 3, 555-558DOI: (10.1016/j.hrcr.2017.07.018) Copyright © 2017 Heart Rhythm Society Terms and Conditions

Figure 3 A: Subthreshold right ventricular support paces during Atrial Capture Management algorithm. B: Enough device-determined “premature ventricular contractions” occur in each episode that the Atrial Capture Management test is aborted. The device returns to “biventricular” pacing, which in this case is His-bundle pacing. ACM = atrial capture management; AP = atrial pacing; AS = atrial sensing; LVP = left ventricular pacing; PVC = premature ventricular contraction; RVP = right ventricular pacing; VS = ventricular sensing. HeartRhythm Case Reports 2017 3, 555-558DOI: (10.1016/j.hrcr.2017.07.018) Copyright © 2017 Heart Rhythm Society Terms and Conditions