Ventricular tachycardia secondary to abandoned epicardial pacemaker lead

Witt, Chance M.; Asirvatham, Samuel J.; Warnes, Carole A.; McLeod, Christopher J.

doi:10.1016/j.hrcr.2015.01.009

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“…Ventricular tachycardia due to endocardial implantable cardioverter defibrillator or inactive pacemaker leads has been reported [ 9 , 10 ]. In these cases, spontaneous VT had a similar QRS morphology to that of the paced rhythm from respective leads, and lead extraction led to spontaneous resolution of recurrent VT. Another case reported late onset VT due to an abandoned surgically epicardial pacemaker lead placed prophylactically in a patient who underwent ventricular septal defect repair [ 16 ]. Electrophysiology study identified the earliest site of activation to be exactly opposite of the abandoned epicardial lead.…”

Section: Discussionmentioning

confidence: 99%