Abstract
Several patients receive a permanent pacemaker in a relatively young age, with multiple subsequent reoperations for pacemaker replacement. Pulse generator replacement is an invasive procedure, associated with the risk of various complications, mainly infection and skin erosion. A case of an extremely long-lasting pacemaker with a totally uneventful longevity period over 31 years is presented. The explanation for this quite rare pacemaker longevity (possibly unique) is analyzed and discussed.
Highlights
Several patients receive a permanent pacemaker in a relatively young age, with multiple subsequent reoperations for pacemaker replacement
The implantation procedure was uncomplicated, with the following acceptable parameters: R wave 8 mV, pacing threshold 0.7 V/0.5 ms, and pacing resistance 750 Ω
Pacing threshold was estimated with the use of Vario system at 0.9 V/0.5 ms, remarkably close to the initial threshold during the implantation
Summary
Several patients receive a permanent pacemaker in a relatively young age, with multiple subsequent reoperations for pacemaker replacement. A case of an extremely long-lasting pacemaker with a totally uneventful longevity period over 31 years is presented. The generator was programmed with the nominal program “on” (output 5 V/0.5 ms pacing at 70 bpm, Vario off). In addition to Vario “on” mode, output was decreased 2.5 V/0.5 ms as there was stable pacing threshold < 1 V/0.5 ms (safety margin > 2/1).
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
