{"title":"Worsening Heart Failure due to AV Dissociation From Safety Mode in CRT-P: A Case Requiring Urgent Generator Replacement","authors":"Yuki Osada, Nobuhiko Ueda, Toshihiro Nakamura, Kohei Ishibashi, Kengo Kusano","doi":"10.1111/anec.70167","DOIUrl":null,"url":null,"abstract":"<p>Boston Scientific reported that dual chamber INGENIO family pacemakers or cardiac resynchronization therapy pacemakers (CRT-P) may initiate safety mode. Once Safety Mode is activated, telemetry with the programmer becomes unavailable. This case highlights worsening heart failure due to loss of atrioventricular synchronization associated with transition to Safety Mode and VVI pacing. Urgent admission for generator replacement was necessary because mode adjustment was not possible.</p>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"31 2","pages":""},"PeriodicalIF":0.9000,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953173/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Noninvasive Electrocardiology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/anec.70167","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Boston Scientific reported that dual chamber INGENIO family pacemakers or cardiac resynchronization therapy pacemakers (CRT-P) may initiate safety mode. Once Safety Mode is activated, telemetry with the programmer becomes unavailable. This case highlights worsening heart failure due to loss of atrioventricular synchronization associated with transition to Safety Mode and VVI pacing. Urgent admission for generator replacement was necessary because mode adjustment was not possible.
期刊介绍:
The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients.
ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation.
ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.