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jsmc-10042


Case Report

A DUAL CHAMBER PACEMAKER LEADS SWITCH AT THE HEADER – AN ELECTROCARDIOGRAPHICAL AND CLINICAL PICTURE, A CASE REPORT


Amar AL Hamdi *, Marek Jastrzębski ** and Jawad M Hawas ***


*    Sulaimani Center for Heart Diseases, Sulaimani, KRG, Iraq. 
**   First Department of Cardiology and Hypertension, University Hospital, Cracow, Poland.
*** Department of Medicine, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.


Submitted: 27/6/2013; Accepted: 30/9/2013Published 1/12/2013


ABSTRACT

In pacemaker practice the occurrence of atrial / ventricular leads switch at the pacemaker box header is very rare and may cause confusion and possibly serious complications as failure of pacing and probably cardiac standstill, recognizing and managing this complication is highly vital for patient safety and even survival.
 

KEYWORDS

Dual chamber pacemaker.

References 

1. Jastrzebski M. Pacemaker malfunction due to atrial and ventricular leads switched in the header: two faces of the same mistake? Pacing Clin Electrophysiol 2008; 31:733-5.

2. Viswanathan MN, Tseng ZH, Goldschlager N, Lee BK. Unusual atrial-paced tachycardia after pacemaker implantation: what is the mechanism? Heart Rhythm 2007; 4:800-2.

3. Naegeli B, Bertel O. Nobody is perfect - a pacemaker dysfunction. Int J Cardiol 2004; 93:297-8.

4. Hamdi A, Jastrzebski M, Hawas JM.  Atrial and Ventricular Lead Switch at the Pacemaker Header: Why Did Asystole First Occur 3 Years Later? Pacing Clin Electrophysiol. 2013 Apr 22. doi: 10.1111/pace.12149.-11-221.10 Feb 11.