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Failure of Automatic Capture Verification in an Epicardial Pacemaker System

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Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

Epicardial pacing is frequently used in pediatric patients with congenital heart disease. Automatic threshold determination has been reported to be safe in epicardial lead systems. We report a case of falsely low ventricular thresholds determined by automatic capture verification in a patient with complete loss of capture due to a lead fracture.

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References

  1. Cohen MI, Bush DM, Vetter VL, Tanel RE, Wieand TS, Gaynor JW, Rhodes LA. Permanent epicardial pacing in pediatric patients. Seventeen year of experience and 1200 outpatient visits. Circ 2001;103:2585–2590.

    Google Scholar 

  2. Hamilton R, Gow R, Bahoric B, Griffiths J, Freedom R, Williams W. Steroid-eluting epicardial leads in pediatrics:Improved epicardial thresholds in the first year. PACE 1991;14(II):2066–2072.

    PubMed  Google Scholar 

  3. Johns JA, Fish FA, Burger JD, Hammon JW Jr. Steroid-eluting epicardial pacing leads in pediatricpatients:Encouraging early results. JACC 1992;20:395–401.

    PubMed  Google Scholar 

  4. Dodge-Khatami A, Johnsrude CL, Backer CL, Deal BJ, Strasberger J, Mavroudis C. A comparison of steroid-eluting epicardial versus transvenous pacing leads in children. Journal of Cardiac Surgery 2000;15(5):323–329.

    PubMed  Google Scholar 

  5. Bauersfeld U, Nowak B, Molinari L, Malm T, Kampmann C, Schonbeck MH, Schuller H. Low-energy epicardial pacing in children:The benefit of autocapture.Ann Thorac Surg 1999;68:1380–1383.

    Article  PubMed  Google Scholar 

  6. Clarke M, Liu B, Schuller H, Binner L, Kennergren C, Guerola M, Weinmann P, Ohm OJ. Automatic adjusment of pacemaker stimulation output correlated with continuously monitored capture thresholds:A multicenter study. PACE 1998;21:1567–1575.

    PubMed  Google Scholar 

  7. Ribeiro AL, Rincon LG, Oliveira BG, Vinha CR, Melatto D, Torres AA, Barros VC, Levine PA. Automatic adjustment of pacing output in the clinical setting. American Heart Journal 2004;147(1):127–131.

    Article  PubMed  Google Scholar 

  8. Nurnberg JH, Abdul-Khaliq H, Ewert P, Lange PE. Antibradycardia pacing in patients with congenital heart disease:Experience with automatic threshold determination and output regulation (Autocapture texttrademark). Europace 2003;5:199–205.

    Article  PubMed  Google Scholar 

  9. Kennergren C, Larsson B, Uhrenius A, Gadler F; Study Group. Clinical experience with an automatic threshold tracking algorithm study. PACE 2003;26:2219–2224.

    PubMed  Google Scholar 

  10. Lau C, Cameron DA, Nishimura SC, Ahern T, Freedman RA, Ellenbogen K, Greenberg S, Baker J, Meacham D. A cardiac evoked response algorithm providing threshold tracking.PACE 2000;23:953–959.

    PubMed  Google Scholar 

  11. Kucukosmanoglu O, Celiker A, Ozer S, Karagoz T. Compatibility of automatic threshold tracking pacemakers with previously implanted pacing leads in children. PACE 2002;25:1624–1627.

    PubMed  Google Scholar 

  12. Nowak B, Kampmann C, Schmid FX, Przibille O, Wippermann F, Himmrich E, Meyer J. Pacemaker therapy in premature children with high degree AV block. PACE 1998;21:2695–2698.

    PubMed  Google Scholar 

  13. Tomita Y, Imoto Y, Tominaga R, Yasui H. Successful implantation of a bipolar epicardial lead and an autocapture pacemaker in a low-body weight infant with congenital atrioventricular block:Report of a case. Surg Today 2000;30:555–557.

    Article  PubMed  Google Scholar 

  14. Suri R, Harthorne W, Galvin J. Automatically optimizing pacing output:An excellent idea, but with potentially lethal pitfalls. PACE 2001;24(Pt I):520–523.

    PubMed  Google Scholar 

  15. Luria D, Gurevitz O, Bar Lev D, Tkach Y, Eldar M, Glikson M. Use of automatic threshold tracking function with non-low polarization leads:Risk for algorithm malfunction. PACE 2004;27:453–459.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Pediatric Cardiology, New York Presbyterian Hospital, Columbia University, 3959 Broadway Ave, 2 North, New York, 10032, NY

    Leonardo Liberman MD, Allan J. Hordof, Daphne S. Hsu & Robert H. Pass

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  1. Leonardo Liberman MD
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  2. Allan J. Hordof
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  3. Daphne S. Hsu
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  4. Robert H. Pass
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Correspondence to Leonardo Liberman MD.

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Liberman, L., Hordof, A.J., Hsu, D.S. et al. Failure of Automatic Capture Verification in an Epicardial Pacemaker System. J Interv Card Electrophysiol 13, 235–237 (2005). https://doi.org/10.1007/s10840-005-2973-3

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  • DOI: https://doi.org/10.1007/s10840-005-2973-3

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