case_images: PMC9940130_01
case_images: Electrocardiogram shows atrial fibrillation with rapid ventricular response
case_images: cureus-0015-00000033930-i01.jpg
case_images: PMC9940130_01_cureus-0015-00000033930-i01.jpg
case_images: FIG1
case_images: Two months later, in April 2022, the patient attended her local accident and emergency with symptomatic atrial tachycardia with rapid ventricular response despite being on verapamil, amiodarone, and digoxin, which the treating team were unable to chemically cardiovert or control (Figure 1).
case_images: Chest radiography shows dual chamber pacemaker in situ
case_images: cureus-0015-00000033930-i02.jpg
case_images: PMC9940130_01_cureus-0015-00000033930-i02.jpg
case_images: FIG2
case_images: A post-PPM implant chest X-ray confirmed satisfactory lead positioning when compared to fluoroscopic images during the PPM insertion (Figure 2).
case_images: Parasternal long-axis view showing impaired left ventricular systolic function. Apical four chambers view shows severely impaired left ventricular systolic function. Parasternal short-axis view shows severely impaired left ventricular systolic function. Cardiac resynchronization therapy pacemaker video with three leads including left ventricular lead
case_images: .jpg
case_images: PMC9940130_01_.jpg
case_images: VID1
case_images: Her device was upgraded to a cardiac resynchronization therapy pacemaker (CRT-P) device with a pacing function in November 2022 with the introduction of a left ventricular lead via the coronary sinus (Figure 3 and Video 4).
case_images: Chest radiograph showing CRT-P in situ. CRT-P: cardiac resynchronization therapy pacemaker
case_images: cureus-0015-00000033930-i03.jpg
case_images: PMC9940130_01_cureus-0015-00000033930-i03.jpg
case_images: FIG3
case_images: Her device was upgraded to a cardiac resynchronization therapy pacemaker (CRT-P) device with a pacing function in November 2022 with the introduction of a left ventricular lead via the coronary sinus (Figure 3 and Video 4).