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Case Report: Temporary pacing using active fixation lead and invasive electrophysiology studies for immune checkpoint

Yifan Wang1, Min Qian2, Xiaofeng Jin3

  • 1Medical Intensive Care Unit, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

Frontiers in Cardiovascular Medicine
|February 20, 2024
PubMed

A case of immune checkpoint inhibitors (ICIs)-associated myocarditis with reversible advanced atrioventricular block (AVB) was reported. We innovatively used active fixation lead connected to an external device for prolonged temporary pacing until atrioventricular conduction recovered. Invasive electrophysiology studies were performed to evaluate atrioventricular conduction in detail. Long-term follow-up for nearly 120-days and repeated long-term electrocardiography was conducted to ensure the conduction system was truly recovered.

Keywords:
advanced atrioventricular blockcase reportimmune checkpoint inhibitorsinvasive electrophysiology studiestemporary pacing

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