Upgrade from leadless to transvenous pacemaker with left bundle branch area pacing: A case report.
Pietro PalmisanoAntonio ParlavecchioAlessandro GuidoMichele AccogliGiovanni ColucciaPublished in: Pacing and clinical electrophysiology : PACE (2024)
An 80-years-old patient with permanent atrial fibrillation and symptomatic, paroxysmal atrioventricular blocks (AVBs) underwent leadless pacemaker (L-PM) implantation. Seven years after implantation, as a consequence of a progression of the AVB towards a persistent form, resulting in an increased need for pacing, he developed a pacing-induced cardiomyopathy. He then underwent a successful upgrade from L-PM to a transvenous pacemaker (T-PM) with left bundle branch area pacing (LBBAP). The L-PM did not interfere with the T-PM and was turned off and abandoned. One month after the upgrading the patient showed a significant improvement in cardiac function and functional capacity.
Keyphrases
- particulate matter
- air pollution
- polycyclic aromatic hydrocarbons
- atrial fibrillation
- heavy metals
- cardiac resynchronization therapy
- water soluble
- heart failure
- catheter ablation
- case report
- vena cava
- left atrial
- left ventricular
- risk assessment
- oral anticoagulants
- oxidative stress
- acute coronary syndrome
- coronary artery disease