AI Article Synopsis
- The report explores a case of a 19-year-old patient experiencing transient 2:1 atrioventricular block after receiving a leadless right ventricular pacemaker, despite no prior history of atrioventricular block.
- The atrioventricular block spontaneously resolved, while pacing morphology indicated right bundle branch pacing, highlighting an unexpected outcome not previously documented with this type of pacemaker.
- The findings suggest that leadless devices can facilitate conduction system pacing and underscore the need for further research on techniques, limitations, and potential complications associated with this approach.
Article Abstract
This report discusses a case of transient 2:1 atrioventricular block with conduction system pacing 4 hours after leadless right ventricular pacemaker implantation in a 19-year-old patient with a history of cardioinhibitory syncope and asystole cardiac arrest but without preexisting atrioventricular block. The atrioventricular block was resolved spontaneously. Pacing morphology was suggestive of right bundle branch pacing. Neither 2:1 atrioventricular block nor conduction system pacing has previously been a reported outcome of right ventricular leadless pacemaker implantation. The report demonstrates that conduction system pacing with leadless devices is achievable. Further study of techniques, limitations, and complications related to intentional right ventricular leadless conduction system pacing is warranted.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075511 | PMC |
| http://dx.doi.org/10.14503/THIJ-23-8268 | DOI Listing |
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