Effective pacing intervention by closed-loop stimulation using a coronary vein lead in a post-tricuspid valve replacement patient

Yukitoshi Ikeya; Toshiko Nakai; Nobuhiro Murata; Masaki Monden; Akihito Ogaku; Koichiro Hori; Ryuta Watanabe; Masaru Arai; Yasuo Okumura

doi:10.2169/internalmedicine.4018-19

Effective pacing intervention by closed-loop stimulation using a coronary vein lead in a post-tricuspid valve replacement patient

Yukitoshi Ikeya, Toshiko Nakai, Nobuhiro Murata, Masaki Monden, Akihito Ogaku, Koichiro Hori, Ryuta Watanabe, Masaru Arai, Yasuo Okumura

School of Medicine

Nihon University

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

To avoid the negative effects associated with pacing, pacemakers are designed to achieve a pacing cadence as close to physiological pacing as possible. In closed-loop stimulation (CLS; a type of rate-responsive functionality used in pacemakers), the changes in impedance (which correlates with the contractility of the myocardium around the lead tip electrode) are tracked, and the paced heart rate is adjusted accordingly. We herein report a case in which we implanted a pacemaker in a post-tricuspid valve replacement patient. A ventricular lead positioned in the coronary vein exhibited good CLS functionality, and the patient's dizziness and heart failure improved.

Original language	English
Pages (from-to)	963-966
Number of pages	4
Journal	Internal Medicine
Volume	59
Issue number	7
DOIs	https://doi.org/10.2169/internalmedicine.4018-19
Publication status	Published - 2020

Keywords

CLS
Closed-loop stimulation
Coronary vein lead
Left ventricular pacing

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10.2169/internalmedicine.4018-19

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title = "Effective pacing intervention by closed-loop stimulation using a coronary vein lead in a post-tricuspid valve replacement patient",

abstract = "To avoid the negative effects associated with pacing, pacemakers are designed to achieve a pacing cadence as close to physiological pacing as possible. In closed-loop stimulation (CLS; a type of rate-responsive functionality used in pacemakers), the changes in impedance (which correlates with the contractility of the myocardium around the lead tip electrode) are tracked, and the paced heart rate is adjusted accordingly. We herein report a case in which we implanted a pacemaker in a post-tricuspid valve replacement patient. A ventricular lead positioned in the coronary vein exhibited good CLS functionality, and the patient's dizziness and heart failure improved.",

keywords = "CLS, Closed-loop stimulation, Coronary vein lead, Left ventricular pacing",

author = "Yukitoshi Ikeya and Toshiko Nakai and Nobuhiro Murata and Masaki Monden and Akihito Ogaku and Koichiro Hori and Ryuta Watanabe and Masaru Arai and Yasuo Okumura",

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doi = "10.2169/internalmedicine.4018-19",

language = "English",

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journal = "Internal Medicine",

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T1 - Effective pacing intervention by closed-loop stimulation using a coronary vein lead in a post-tricuspid valve replacement patient

AU - Ikeya, Yukitoshi

AU - Nakai, Toshiko

AU - Murata, Nobuhiro

AU - Monden, Masaki

AU - Ogaku, Akihito

AU - Hori, Koichiro

AU - Watanabe, Ryuta

AU - Arai, Masaru

AU - Okumura, Yasuo

N1 - Publisher Copyright: © The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).

PY - 2020

Y1 - 2020

N2 - To avoid the negative effects associated with pacing, pacemakers are designed to achieve a pacing cadence as close to physiological pacing as possible. In closed-loop stimulation (CLS; a type of rate-responsive functionality used in pacemakers), the changes in impedance (which correlates with the contractility of the myocardium around the lead tip electrode) are tracked, and the paced heart rate is adjusted accordingly. We herein report a case in which we implanted a pacemaker in a post-tricuspid valve replacement patient. A ventricular lead positioned in the coronary vein exhibited good CLS functionality, and the patient's dizziness and heart failure improved.

AB - To avoid the negative effects associated with pacing, pacemakers are designed to achieve a pacing cadence as close to physiological pacing as possible. In closed-loop stimulation (CLS; a type of rate-responsive functionality used in pacemakers), the changes in impedance (which correlates with the contractility of the myocardium around the lead tip electrode) are tracked, and the paced heart rate is adjusted accordingly. We herein report a case in which we implanted a pacemaker in a post-tricuspid valve replacement patient. A ventricular lead positioned in the coronary vein exhibited good CLS functionality, and the patient's dizziness and heart failure improved.

KW - CLS

KW - Closed-loop stimulation

KW - Coronary vein lead

KW - Left ventricular pacing

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EP - 966

JO - Internal Medicine

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IS - 7

ER -

Effective pacing intervention by closed-loop stimulation using a coronary vein lead in a post-tricuspid valve replacement patient

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Keywords

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