Update on wandering pacemaker: clinical case

Abstract

Introduction.  Wandering atrial pacing is a benign atrial arrhythmia seen in elderly patients with obstructive pulmonary disease resulting from cardiac ischemia.  Objective. To determine the management and therapeutics of errant pacing in order to establish novel and instructive elements of the disease.  Methodology. Descriptive, retrospective, clinical case study. The technique used for the collection of the information of the case will be through the review of clinical history and for the description of the pathology will be through the compilation of articles extracted from recognized databases such as: Scopus, PorQuest, Pubmed, web of science, lilacs. Inclusion criteria: articles published in the last 5 years, in Spanish and English. The ethical criteria were met with the patient's informed consent.  Results. A 67-year-old male patient came to the cardiology outpatient clinic for cardiovascular evaluation, with a personal history of valvular heart disease treated with aortic valve implantation in 2016, extreme bradycardia and errant pacemaker. Conclusion. The patient's extreme bradycardia and errant pacing require continued dual-chamber pacing management. Regular follow-up visits with the cardiologist and pacemaker interrogations are essential to monitor pacemaker function, capture, sensing, and battery life. General area of study: medicine. Specific area of study: cardiology. Type of study: clinical cases.