2015HeartRhythm Case ReportsOpen access

Ventricular tachycardia secondary to abandoned epicardial pacemaker lead

Chance M. Witt, Samuel J. Asirvatham, Carole A. Warnes, Christopher J. McLeod

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Abstract

Late complications from pacemaker leads are infrequent. The majority of lead-related issues, such as dislodgment and perforation, occur around the time of implant.1 Rarely, arrhythmias are triggered by the physical presence of the lead. We present the case of a patient with recurrent ventricular tachycardia (VT) precipitated by positional change and specific movements, and associated with a pacing lead placed 3 decades earlier.

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What this paper is about

Late complications from pacemaker leads are infrequent. The majority of lead-related issues, such as dislodgment and perforation, occur around the time of implant.1 Rarely, arrhythmias are triggered by the physical presence of the lead. We present the case of a patient with recurrent ventricular tachycardia (VT) precipitated by positional change and specific movements, and associated with a pacing lead placed 3 decades earlier.

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Available abstract

Late complications from pacemaker leads are infrequent. The majority of lead-related issues, such as dislodgment and perforation, occur around the time of implant.1 Rarely, arrhythmias are triggered by the physical presence of the lead. We present the case of a patient with recurrent ventricular tachycardia (VT) precipitated by positional change and specific movements, and associated with a pacing lead placed 3 decades earlier.

Key concepts: Medicine, Cardiology, Internal medicine, Ventricular tachycardia, Lead (geology), Tachycardia, Geomorphology, Geology

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