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Ventricular asystole in a CRT-D device. What is the mechanism?

Authors :
Reddy P
Do K
Doshi R
Shinbane J
Konecny T
Source :
Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2019 Sep; Vol. 42 (9), pp. 1243-1245. Date of Electronic Publication: 2019 Aug 16.
Publication Year :
2019

Abstract

We present a case of an 89-year-old man with a left ventricular assist device and cardiac resynchronization therapy device (CRT-D) who presented with multiple presyncopal events. On the night of admission, telemetry revealed a 13-s pause with appropriately timed pacing spikes but with failure to capture, followed by intermittent ventricular contraction with different QRS morphology. What was the mechanism for his ventricular asystole?<br /> (© 2019 Wiley Periodicals, Inc.)

Details

Language :
English
ISSN :
1540-8159
Volume :
42
Issue :
9
Database :
MEDLINE
Journal :
Pacing and clinical electrophysiology : PACE
Publication Type :
Academic Journal
Accession number :
31390079
Full Text :
https://doi.org/10.1111/pace.13773