A 67-year old male with a dual-chamber pacemaker visited for a regular check-up. An unfamiliar message emerged on the display just after placing the programmer wand. We could recognize that the pacemaker had already been in the safe back-up mode of DDI, and the programmer prompted a re-initialization request. We are so surprised because there was no indication of device malfunction the day before in daily monitoring and a 12-lead electrocardiogram revealed normally working in the DDD mode just before checking the device. The pacemaker was immediately re-programmed to the former setting. This phenomenon has not recurred for 12 months.
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http://dx.doi.org/10.1016/j.ipej.2018.02.005 | DOI Listing |
Pacing Clin Electrophysiol
July 2024
Department of Cardiovascular Medicine, The University of Kansas Health System, Kansas City, USA.
Pacing Clin Electrophysiol
January 2024
Brigham and Women's Hospital, Arrhythmia Services Section, The Warren Alpert Medical School, Brown University, Boston, Massachusetts, Rhode Island, USA.
Background: Power-on reset (PoR) is most commonly due to electromagnetic interference. Full PoR results in a switch to an inhibited mode (VVI) pacing and resets pacing outputs to maximal unipolar settings, leading to extracardiac stimulation.
Methods: We present a case of PoR occurrence in the absence of electromagnetic interference, resulting in pectoral stimulation triggered by violation of the atrial rate limit.
J Appl Clin Med Phys
March 2022
Department of Electrophysiology, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Magnetic resonance imaging (MRI) is a valuable imaging modality for the assessment of both cardiac and non-cardiac structures. With a growing population of patients with cardiovascular implantable electronic devices (CIEDs), 50%-75% of these patients will need an MRI. MRI-conditional CIEDs have demonstrated safety of MRI scanning with such devices, yet non-conditional devices such as hybrid CIEDs which have generator and lead brand mismatch may pose a safety risk.
View Article and Find Full Text PDFJAMA Cardiol
May 2021
Department of Radiology, Division of Cardiovascular Medicine, Perelman School of Medicine of the University of Pennsylvania, Philadelphia.
Importance: Magnetic resonance imaging (MRI) is the modality of choice for many conditions. Conditional devices and novel protocols for imaging patients with legacy cardiac implantable electronic devices (CIEDs) have increased access to MRI in patients with devices. However, the presence of abandoned leads remains an absolute contraindication.
View Article and Find Full Text PDFJ Cardiovasc Electrophysiol
November 2020
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA.
Background: Magnetic resonance imaging (MRI) in patients with legacy cardiovascular implantable electronic devices (CIEDs) in situ is likely underutilized. We hypothesized the clinical benefit of MRI would outweigh the risks in legacy CIED patients.
Methods: This is a single-center retrospective study that evaluated and classified the utility of MRI using a prospectively maintained database.
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