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Dizziness spells: Should one suspect the pacemaker?

Moustafa Elsheshtawy¹, Felix Yang², Sudhakar Prabhu¹

¹Department of Medicine, Division of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA 11219; Department of Medicine, Division of Cardiology, Coney Island Hospital, Brooklyn, NY, USA 11235.

The American Journal of Emergency Medicine

|December 25, 2018

Summary

This summary is machine-generated.

Pacemaker lead failure caused a patient

Keywords:

Dizziness Lead fracture Pacemaker malfunction

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Area of Science:

Cardiology
Electrophysiology
Medical Devices

Background:

Pacemakers are crucial for managing cardiac arrhythmias.
Pacemaker malfunction can lead to serious adverse events.
Lead integrity is vital for device function.

Observation:

A 52-year-old female presented with recurrent dizziness and near-syncope.
Symptoms were triggered by specific movements, suggesting a lead-related issue.
ECG showed inappropriate pacemaker inhibition and oversensing.

Findings:

Pacemaker interrogation revealed ventricular lead noise and decreased lead impedance.
Pacemaker lead failure was diagnosed, correlated with arm movements.
Symptoms resolved after new lead placement.

Implications:

This case highlights the importance of considering lead integrity in pacemaker malfunction.
Positional symptoms can indicate lead issues.
Prompt diagnosis and intervention are crucial for patient safety.