Loose lead?

Hello again. I got a CRT-P just over 2-1/2 weeks ago, on November 19th. I had to get it after they determined that the dual-chamber that I got 6 years ago was pacing my right ventricle 100 % and was out of sync with the right side. Initally I was startled several days later when I realized that my shortness of breath was gone. Then last week I went in for my post-op follow-up and the technician checking my device said one of my numbers had increased in just over a week and I might have had a lead come loose. Since then my SOB is back as bad as it was before. So I may need to go get an x-ray to see if the keads are all still in place 

I'm hoping someone who has had a similar situation might tell me about their experience.  Like what happened and what do they have to do to reattach a lead? Thanks.

I tell you, It's always something.  😒  

Damie Rodriguez 


1 Comments

Depends on which end has come loose - or if a lead has cracked

by crustyg - 2020-12-07 09:18:32

Re-attaching a lead at the PM end is a 10min job (although this should never be necessary as each lead is locked in place with a torque-wrench tightened grub-screw).  Replacing a lead that's come out of the heart muscle will involve placing a new lead, the same as replacing a lead that's failing or failed but is still attached at each end. Replacing a well-anchored lead that's cracked may involve removing the old, failed lead.  This is specialist work and you want to have this done by a centre that does 100+ a year - don't let an amateur have-a-go at this.

Replacing the LV lead for a CRT-x can be very difficult if that's the one that's come loose.  *IF* that is the case, don't despair, there are other ways of getting a lead to the LV to restore the CRT function.  There was quite a discussion about this some months ago.

How long the above takes, what precisely is involved depends a lot on what they find at X-ray/CT scan.

So, lots of things to worry about: try not to do this.  Wait until you have information.  Understanding often reduces anxiety and increases acceptance.

You know you're wired when...

Like the Energizer Bunny, you keep going.

Member Quotes

Without this little machine, we would not be here.