ペースメーカ植込み直後に一過性ペーシング不全 · センシング不全を伴った洞不全症候群の1例

藤井 舞; 白石 裕一; 小倉 敬士; 関根 知美; 八木 克史; 今井 幹昌; 濱岡 哲郎; 小島 章光; 畔柳 彰; 中西 直彦; 中村 猛; 山野 哲弘; 松室 明義; 白山 武司

doi:10.5105/jse.36.198

A Case of Sick Sinus Syndrome with Transient Pacing and Sensing Failure a Few Days after Pacemaker Implantation

Mai Fujii, Hirokazu Shiraishi, Keishi Ogura, Tomomi Sekine, Yoshifumi Yagi, Mikimasa Imai, Tetsuro Hamaoka, Akiteru Kojima, Akira Kuroyanagi, Naohiko Nakanishi, Takeshi Nakamura, Tetsuhiro Yamano, Akiyoshi Matsumuro, Takeshi Shirayama

Author information

Mai Fujii
Department of Clinical Engineering, Kyoto Prefectual University of Medicine
Hirokazu Shiraishi
Department of Cardiology, Kyoto Prefectual University of Medicine
Keishi Ogura
Department of Clinical Engineering, Kyoto Prefectual University of Medicine
Tomomi Sekine
Department of Clinical Engineering, Kyoto Prefectual University of Medicine
Yoshifumi Yagi
Department of Clinical Engineering, Kyoto Prefectual University of Medicine
Mikimasa Imai
Department of Cardiology, Kyoto Prefectual University of Medicine
Tetsuro Hamaoka
Department of Cardiology, Kyoto Prefectual University of Medicine
Akiteru Kojima
Department of Cardiology, Kyoto Prefectual University of Medicine
Akira Kuroyanagi
Department of Cardiology, Kyoto Prefectual University of Medicine
Naohiko Nakanishi
Department of Cardiology, Kyoto Prefectual University of Medicine
Takeshi Nakamura
Department of Cardiology, Kyoto Prefectual University of Medicine
Tetsuhiro Yamano
Department of Cardiology, Kyoto Prefectual University of Medicine
Akiyoshi Matsumuro
Department of Cardiology, Kyoto Prefectual University of Medicine
Takeshi Shirayama
Department of Cardiology, Kyoto Prefectual University of Medicine

Keywords: Pacemaker implantation, Transient pacing failure, Transient sensing failure

JOURNAL FREE ACCESS

2016 Volume 36 Issue 3 Pages 198-206

DOI https://doi.org/10.5105/jse.36.198

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Abstract

A 66-year-old female was admitted to our hospital for the treatment of cardiogenic cerebral infarction. She had a history of paroxysmal atrial fibrillation. Ambulatory monitoring revealed cardiac arrest for 11.4sec.A DDD pacemaker was implanted normally (P amplitude 6.1mV, pacing threshold 0.5V/0.4msec). Three days after the implantation, pacing failure was observed. P wave was not sensed at 0.15mV sensitivity, and the pacing threshold was more than 8V/1.0msec. Seven days after implantation, P wave amplitude and pacing threshold returned to their initial values at the time of implantation. Local myocardial injury due to tined lead tip could be a cause of transient atrial damage.

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