Publication
Quadripolar Left Ventricle Only Single Lead Pacing in a Patient With a Tricuspid Mechanical Valve: a Less Invasive Approach
| dc.contributor.author | Grazina, A | |
| dc.contributor.author | Teixeira, B | |
| dc.contributor.author | Silva Cunha, P | |
| dc.contributor.author | Oliveira, M | |
| dc.date.accessioned | 2024-08-16T15:19:42Z | |
| dc.date.available | 2024-08-16T15:19:42Z | |
| dc.date.issued | 2023 | |
| dc.description.abstract | In the presence of prosthetic tricuspid valve, the inaccessibility to the right ventricle makes permanent pacing challenging. The placement of a left ventricle (LV) single lead in the coronary sinus (CS) is a well-accepted alternative, with some limitations regarding sensing and threshold. We describe a clinical case of a patient who had a previous LV only lead in the CS due to the presence of a prosthetic tricuspid valve and, after a surgical valvular intervention, presented with recurrent syncope episodes due to lead malfunction with lack of pacing capture and significant ventricular pauses. A quadripolar lead was chosen to be placed in the CS connected to a cardiac resynchronization therapy pacemaker device, programmed at biventricular VVI and using a specific manufacturer T-wave protection algorithm to prevent pacemaker-induced arrhythmias and to use the patient's own rhythm. This approach prevented a fourth surgical intervention to place an epicardial lead and resulted in reasonable LV sensing and pacing threshold. Learning objectives: This paper reports an alternative and atypical approach that could solve some of the limitations associated with ventricular pacing in patients with tricuspid prosthetic valves and multiple previous surgeries. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | J Cardiol Cases . 2022 Dec 1;27(3):105-107. | pt_PT |
| dc.identifier.doi | 10.1016/j.jccase.2022.11.004 | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.17/4995 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Elsevier | pt_PT |
| dc.subject | HSM CAR | pt_PT |
| dc.subject | Coronary Sinus Lead | pt_PT |
| dc.subject | Left Ventricle Pacing | pt_PT |
| dc.subject | Tricuspid Prosthetic Valve | pt_PT |
| dc.title | Quadripolar Left Ventricle Only Single Lead Pacing in a Patient With a Tricuspid Mechanical Valve: a Less Invasive Approach | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 107 | pt_PT |
| oaire.citation.issue | 3 | pt_PT |
| oaire.citation.startPage | 105 | pt_PT |
| oaire.citation.title | Journal of Cardiology Cases | pt_PT |
| oaire.citation.volume | 27 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |