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Angiology
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Reversible Atrial Lead Dysfunction of DDD Pacemaker After Recent Inferior Myocardial Infarction

A Case Report

Chiliang Chen, MD

Cardiovascular Center, Tainan Municipal Hospital, Tainan, Taiwan, ROC, chiliang{at}mail.tmh.org.tw

Ching-Chang Fang, MD

Cardiovascular Center, Tainan Municipal Hospital, Tainan, Taiwan, ROC

Shih-Pu Wang, MD

Cardiovascular Center, Tainan Municipal Hospital, Tainan, Taiwan, ROC

A patient with DDD pacemaker had pacing dysfunction following an inferior myocardial infarction. The threshold of that implanted right atrial pacing lead was abnormally high but the generator was normal. A temporary lead was inserted into the high right atrium near the appendage and near the low atrium for testing of threshold, which was abnormally high in these 2 places. Forty days after stent implantation in the proximal segment of the right coronary artery, the threshold spontaneously returned to normal. The change threshold of electrode-tissue interface in the right atrium was suspected due to hibernation of right atrium ischemia.

Angiology, Vol. 55, No. 4, 451-454 (2004)
DOI: 10.1177/000331970405500413
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