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Europace Advance Access originally published online on February 8, 2007
Europace 2007 9(3):192-193; doi:10.1093/europace/eum003
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

CARDIAC PACING

Integrated home monitoring predicts lead failure in a pacemaker dependent 4-year-old girl

P.A. Zartner*, R.P. Handke, A.M. Brecher and M.B.E. Schneider

German Paediatric Heart Centre Sankt Augustin, Department for Cardiology, Arnold-Janssen-Str. 29, D-53757 Sankt Augustin, Germany

A 4-year-old girl with post-surgical complete atrioventricular block received an epicardial dual chamber pacemaker system. During further growth intermittent exit block occurred, first misinterpreted as neurological seizures. The epicardial lead was replaced using a transvenous approach, and a pacemaker with an integrated home monitoring facility was implanted. After her discharge, a rise in the pacing threshold automatically initiated an event message. On the basis of this information, the patient was called in and imminent dislodgement of the ventricular lead was diagnosed by x-ray. The lead was repositioned and was found stable over 1-year follow-up.

Key Words: Children, Congenital Heart Disease, Emergency, Exit block, Pacemaker, Home monitoring

* Corresponding author. Tel: +49 2241 249 653; fax: +49 2241 249 652. E-mail address: p.zartner{at}asklepios.com

Manuscript submitted 7 September 2006. Accepted after revision 17 December 2006.


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