Ventricular asystole in the presence of a biventricular device

Roshan Karki; James Lloyd; Siva K Mulpuru; Samuel J Asirvatham; Christopher V DeSimone

doi:10.1111/jce.14715

Ventricular asystole in the presence of a biventricular device

J Cardiovasc Electrophysiol. 2020 Nov;31(11):3031-3035. doi: 10.1111/jce.14715. Epub 2020 Aug 19.

Authors

Roshan Karki¹, James Lloyd¹, Siva K Mulpuru¹, Samuel J Asirvatham^{1

2

3

4}, Christopher V DeSimone¹

Affiliations

¹ Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
² Department of Pediatrics and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, USA.
³ Department of Biomedical Engineering, Mayo Clinic, Rochester, Minnesota, USA.
⁴ Department of Clinical Anatomy, Mayo Clinic, Rochester, Minnesota, USA.

PMID: 32786037
DOI: 10.1111/jce.14715

Abstract

In pacemaker-dependent patients with a newly implanted cardiac device, acute lead dislodgement constitutes one of the most common causes of loss of capture and ventricular asystole. In a biventricular system, it would be expected that such a potentially catastrophic event would be prevented with back-up right ventricular pacing unless both leads dislodge.

Keywords: AdaptivCRT; CRT; asystole; lead dislodgement.

MeSH terms

Cardiac Pacing, Artificial
Heart Arrest* / diagnosis
Heart Arrest* / etiology
Heart Arrest* / therapy
Heart Failure* / therapy
Heart Ventricles / diagnostic imaging
Heart Ventricles / surgery
Humans
Pacemaker, Artificial* / adverse effects
Treatment Outcome