(FIT)-Module 5 Workshop 8: Device Cases-Ellenbogen Case 6 Question

Video Transcription

Video Summary

A 74-year-old woman with renal failure and persistent atrial fibrillation underwent AV junction ablation and subsequent leadless pacemaker implantation for rate control. She was readmitted with dizziness. Her RV pacing threshold was 2.75 volts, necessitating a pacemaker setting of five volts. An asymptomatic incident was recorded at 2 a.m. Possible management options include conducting a STAT-ECHO to check for pericardial effusion, placing new ECG monitoring electrodes with routine management and follow-up, implanting a transvenous VBI pacemaker from the left side, or extracting and replacing the leadless pacemaker.

Keywords

renal failure

atrial fibrillation

AV junction ablation

leadless pacemaker

pericardial effusion