Monomorphic ventricular tachycardia caused by electrocautery during pacemaker generator change in a patient with
Anil K Goel1, Steven Korotkin, Daniel Walsh
1Division of Cardiology, William Beaumont Hospital, Royal Oak, Michigan, USA. anil_goel@hotmail.com
Abstract:
Pacemaker generator replacement is a simple procedure that is mostly done on outpatient basis. Electrocautery is almost universally used for bleeding control and tissue dissection. Ventricular fibrillation (VF) caused by electrocautery in these procedures is a very uncommon occurrence and an underappreciated possibility with modern day devices. We report a case of monomorphic ventricular tachycardia induced by electrocautery in a patient with normal left ventricular ejection fraction during elective pacemaker generator change.
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