Upgrade from leadless to transvenous pacemaker with left bundle branch area pacing: A case report
Pietro Palmisano1, Antonio Parlavecchio1,2, Alessandro Guido1
1Cardiology Unit, "Card. G. Panico" Hospital, Tricase, Italy.
Pacing and Clinical Electrophysiology : PACE
|January 24, 2024
Summary
An elderly patient with atrial fibrillation and heart block received a leadless pacemaker. Seven years later, a pacing-induced cardiomyopathy led to an upgrade to a transvenous pacemaker, improving cardiac function.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Devices
Background:
- Permanent atrial fibrillation and symptomatic atrioventricular blocks (AVBs) pose significant management challenges.
- Leadless pacemakers (L-PM) offer a minimally invasive pacing solution.
- Pacing-induced cardiomyopathy is a potential complication of long-term cardiac pacing.


