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Transient phrenic nerve stimulation in a patient with single chamber pacemaker: case report

https://doi.org/10.35336/VA-1290

EDN: NOVPJQ

Abstract

The article presents a clinical observation of a patient with episodes of phrenic nerve stimulation after inadvertent permanent ventricular pacing from the middle cardiac vein. The methods of early diagnosis of this complication and techniques for its prevention are described.

About the Authors

I. O. Repnikov
Pokrovskaya Municipal Hospital
Russian Federation

Ilya O. Repnikov 

Saint Petersburg, 85 VO Bolshoy ave.



O. P. Evseeva
Pokrovskaya Municipal Hospital
Russian Federation

Saint Petersburg, 85 VO Bolshoy ave.



A. E. Evtushenko
Pokrovskaya Municipal Hospital
Russian Federation

Saint Petersburg, 85 VO Bolshoy ave.



E. V. Maslova
Pokrovskaya Municipal Hospital
Russian Federation

Saint Petersburg, 85 VO Bolshoy ave.



M. V. Akhobadze
Pokrovskaya Municipal Hospital
Russian Federation

Saint Petersburg, 85 VO Bolshoy ave.



D. I. Perchatkin
Pokrovskaya Municipal Hospital
Russian Federation

Saint Petersburg, 85 VO Bolshoy ave.



References

1. Goetze S, Defaye P, Bauer A, et al. Phrenic nerve stimulation in CRT patients and benefits of electronic lead repositioning: the ERACE trial. J Interv Card Electrophysiol. 2013;38: 1-9. https://doi.org/10.1007/s10840-013-9811-9.

2. Chen TE, Wang CC, Satish OS, et al. Electrocardiographic features of ventricular pacing lead in the middle cardiac vein vs. right ventricular apex in a patient with persistent left superior vena cava. J Electrocardiology. 2007;40: 531-533 https://doi:10.1016/j.jelectrocard.2007.05.016.

3. Biffi M, Exner D, Crossley G, et al. Occurrence of phrenic nerve stimulation in cardiac resynchronization therapy patients: the role of left ventricular lead type and placement site. Europace. 2013;15: 77-82. https://doi:10.1093/europace/eus237.

4. Chen M, Wu Z, Liu Z, et.al. Inadvertent malposition of a permanent ventricular lead into the middle cardiac vein was misdiagnosed as lead perforation. Annals of Noninvasive Electrocardiology. 2022;27: e12949. https://doi.org/10.1111/anec.12949.

5. Shettigar UR, Loungani RR, Smith CA. Inadvertent permanent ventricular pacing from the coronary vein: An electrocardiographic, roentgenographic, and echocardiographic assessment. Clinical Cardiology. 1989;12: 267-274. https://doi.org/10.1002/clc.49601 20508.

6. Topaloglu, S., Bayraktar, F., Okten, S., et al. Inadvertent placement of pacemaker lead into the middle cardiac vein. Herz. 2015; 0: 734-737. https://doi.org/10.1007/s00059-014-4134-x.

7. Доступно по ссылке (available from): https://www.transmedpharma.com/wp-content/uploads/2021/03/BIOTRONIK_Product-Catalog_CRM.pdf.


Review

For citations:


Repnikov I.O., Evseeva O.P., Evtushenko A.E., Maslova E.V., Akhobadze M.V., Perchatkin D.I. Transient phrenic nerve stimulation in a patient with single chamber pacemaker: case report. Journal of Arrhythmology. 2024;31(2):68-72. https://doi.org/10.35336/VA-1290. EDN: NOVPJQ

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ISSN 1561-8641 (Print)
ISSN 2658-7327 (Online)