Micra‐AV leadless pacemaker and atrioventricular (dys)synchrony: A stepwise process.

Leadless pacemakers have become a major breakthrough in the management of bradyarrhythmia as an attractive alternative to the standard transvenous pacemakers, but safety and long‐term outcomes of the new Micra‐AV, which is capable guarantee atrioventricular (AV) synchrony, have been poorly described...

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Published in:Pacing & Clinical Electrophysiology Vol. 44; no. 10; pp. 1738 - 1743
Main Authors: Mitacchione, Gianfranco, Schiavone, Marco, Gasperetti, Alessio, Ruggiero, Diego, Denora, Marialessia, Viecca, Maurizio, Forleo, Giovanni Battista
Format: case study diagnostic images pictorial tracings Journal Article
Published: Wiley-Blackwell Oct2021
Online Access:View this record in EBSCOhost
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      dt: Oct2021
      vid: 44
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Micra‐AV leadless pacemaker and atrioventricular (dys)synchrony: A stepwise process.
      aug:
        au:
          Mitacchione, Gianfranco
          Schiavone, Marco
          Gasperetti, Alessio
          Ruggiero, Diego
          Denora, Marialessia
          Viecca, Maurizio
          Forleo, Giovanni Battista
        affil: Cardiology Unit, ASST‐Fatebenefratelli Sacco, Luigi Sacco University Hospital, Milan, Italy
      sug:
        subj:
          Pacemaker, Artificial Adverse Effects
          Cardiac Pacing, Artificial Methods
          Equipment Failure
          Cardiac Resynchronization Therapy
          Female
          Middle Age
          Electrocardiography, Ambulatory
          Electrocardiography
          Exercise Test
          Middle Aged: 45-64 years
          Female
      ab: Leadless pacemakers have become a major breakthrough in the management of bradyarrhythmia as an attractive alternative to the standard transvenous pacemakers, but safety and long‐term outcomes of the new Micra‐AV, which is capable guarantee atrioventricular (AV) synchrony, have been poorly described. Hence, we describe how we managed a 57‐year‐old patient who developed pacemaker syndrome due to significant Micra‐AV dyssynchrony. This case emphasizes how leadless pacemaker AV synchrony could be overestimated, thereby requiring a stepwise process leading to adequate device reprogramming. Holter‐ECG monitoring and exercise test resulted to be valuable tools for an early detection of inadequate AV synchrony, integrating and completing device reports.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        tracings
        Journal Article
      ougenre: Article
    language: English
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