Runaway pulse generator malfunction resulting from undetected battery depletion

Pugazhendhi Vijayaraman, Kedarnath Vaidya, Soo G. Kim, Jay N. Gross, Kevin J. Ferrick, Eugen C. Palma, Seymour Furman, John Devens Fisher

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Runaway pacemaker is an uncommon, potentially lethal circuit malfunction characterized by sudden onset of erratic pacing at rapid nonphysiological rates. Two patients with a single chamber pacemaker (Medtronic ST 8331 and 8419) presented with episodic dizziness. ECG revealed recurrent decrescendo amplitude episodes of runaway stimuli at 2,400 and 2,600 ppm, approximately 3 seconds in duration, separated by pacing at 62.5 and 65 ppm, respectively. Fortunately the runaway stimuli were subthreshold and did not result in capture of the ventricle. Emergency pulse generator replacement was uneventful. Both leads were normal and both pulse generators had low battery voltages at 1.488 and 1.78 V, respectively.

Original languageEnglish (US)
Pages (from-to)220-222
Number of pages3
JournalPACE - Pacing and Clinical Electrophysiology
Volume25
Issue number2
StatePublished - 2002

Fingerprint

Homeless Youth
Dizziness
Electrocardiography
Emergencies

Keywords

  • Arrhythmia
  • Pacemaker malfunction
  • Runaway

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Runaway pulse generator malfunction resulting from undetected battery depletion. / Vijayaraman, Pugazhendhi; Vaidya, Kedarnath; Kim, Soo G.; Gross, Jay N.; Ferrick, Kevin J.; Palma, Eugen C.; Furman, Seymour; Fisher, John Devens.

In: PACE - Pacing and Clinical Electrophysiology, Vol. 25, No. 2, 2002, p. 220-222.

Research output: Contribution to journalArticle

Vijayaraman, Pugazhendhi ; Vaidya, Kedarnath ; Kim, Soo G. ; Gross, Jay N. ; Ferrick, Kevin J. ; Palma, Eugen C. ; Furman, Seymour ; Fisher, John Devens. / Runaway pulse generator malfunction resulting from undetected battery depletion. In: PACE - Pacing and Clinical Electrophysiology. 2002 ; Vol. 25, No. 2. pp. 220-222.
@article{d6f7628d619e409496f4d92fe5a0bc70,
title = "Runaway pulse generator malfunction resulting from undetected battery depletion",
abstract = "Runaway pacemaker is an uncommon, potentially lethal circuit malfunction characterized by sudden onset of erratic pacing at rapid nonphysiological rates. Two patients with a single chamber pacemaker (Medtronic ST 8331 and 8419) presented with episodic dizziness. ECG revealed recurrent decrescendo amplitude episodes of runaway stimuli at 2,400 and 2,600 ppm, approximately 3 seconds in duration, separated by pacing at 62.5 and 65 ppm, respectively. Fortunately the runaway stimuli were subthreshold and did not result in capture of the ventricle. Emergency pulse generator replacement was uneventful. Both leads were normal and both pulse generators had low battery voltages at 1.488 and 1.78 V, respectively.",
keywords = "Arrhythmia, Pacemaker malfunction, Runaway",
author = "Pugazhendhi Vijayaraman and Kedarnath Vaidya and Kim, {Soo G.} and Gross, {Jay N.} and Ferrick, {Kevin J.} and Palma, {Eugen C.} and Seymour Furman and Fisher, {John Devens}",
year = "2002",
language = "English (US)",
volume = "25",
pages = "220--222",
journal = "PACE - Pacing and Clinical Electrophysiology",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Runaway pulse generator malfunction resulting from undetected battery depletion

AU - Vijayaraman, Pugazhendhi

AU - Vaidya, Kedarnath

AU - Kim, Soo G.

AU - Gross, Jay N.

AU - Ferrick, Kevin J.

AU - Palma, Eugen C.

AU - Furman, Seymour

AU - Fisher, John Devens

PY - 2002

Y1 - 2002

N2 - Runaway pacemaker is an uncommon, potentially lethal circuit malfunction characterized by sudden onset of erratic pacing at rapid nonphysiological rates. Two patients with a single chamber pacemaker (Medtronic ST 8331 and 8419) presented with episodic dizziness. ECG revealed recurrent decrescendo amplitude episodes of runaway stimuli at 2,400 and 2,600 ppm, approximately 3 seconds in duration, separated by pacing at 62.5 and 65 ppm, respectively. Fortunately the runaway stimuli were subthreshold and did not result in capture of the ventricle. Emergency pulse generator replacement was uneventful. Both leads were normal and both pulse generators had low battery voltages at 1.488 and 1.78 V, respectively.

AB - Runaway pacemaker is an uncommon, potentially lethal circuit malfunction characterized by sudden onset of erratic pacing at rapid nonphysiological rates. Two patients with a single chamber pacemaker (Medtronic ST 8331 and 8419) presented with episodic dizziness. ECG revealed recurrent decrescendo amplitude episodes of runaway stimuli at 2,400 and 2,600 ppm, approximately 3 seconds in duration, separated by pacing at 62.5 and 65 ppm, respectively. Fortunately the runaway stimuli were subthreshold and did not result in capture of the ventricle. Emergency pulse generator replacement was uneventful. Both leads were normal and both pulse generators had low battery voltages at 1.488 and 1.78 V, respectively.

KW - Arrhythmia

KW - Pacemaker malfunction

KW - Runaway

UR - http://www.scopus.com/inward/record.url?scp=0036188946&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036188946&partnerID=8YFLogxK

M3 - Article

C2 - 11915992

AN - SCOPUS:0036188946

VL - 25

SP - 220

EP - 222

JO - PACE - Pacing and Clinical Electrophysiology

JF - PACE - Pacing and Clinical Electrophysiology

SN - 0147-8389

IS - 2

ER -