AI Article Synopsis

  • The pacing threshold is how well a leadless pacemaker works and it affects how long the battery lasts.
  • Sometimes, when the pacemaker is first used, it might need more power to keep working, but later it can improve, although it can also get worse again.
  • It's important to be careful with leadless pacemakers because taking them out and putting them back can lead to serious problems, so knowing how they work can help avoid unnecessary surgeries.

Article Abstract

The pacing threshold is important for leadless pacemakers, as the pacing output has a significant impact on battery longevity. Acute pacing rate-dependent threshold increases have also been reported with leadless pacemakers. In the present case, we experienced a case in which the threshold, which had been raised in the acute phase, once showed a tendency to improve, but then worsened again. And, as in previous reports, thresholds improved completely in the chronic phase. Repeated retrieval and reimplantation of leadless pacemakers increases the likelihood of fatal complications, so being aware of such phenomenon may prevent unnecessary procedure and complications.

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Source
http://dx.doi.org/10.1111/pace.14999DOI Listing

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