Use of steroid therapy as a bridge to decision-making in patients with late rising pacing threshold after pacemaker implantation?

Use of steroid therapy as a bridge to decision-making in patients with late rising pacing threshold after pacemaker implantation?

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The late rising pacing threshold is an alarming situation in which Packet Caddies a possibility of lead dislodgement is usually considered first.This condition is usually picked up on routine follow-up interrogation; however, it can clinically manifest as syncope due to bradyarrhythmia.We report such a case in a 59-year-old male presenting to the emergency with syncope with a double chamber pacemaker in situ.He had a history of pacemaker implantation 16 years back and a pulse generator replacement (PGR) 6 years back with desirable parameters found immediately and up to 4 years after PGR.

He was found to have a complete heart block on an electrocardiogram following the evaluation of presyncope and subsequently on his pacemaker interrogation high threshold was found which improved to Facial Treatments And Masks acceptable levels after 4 weeks of steroid therapy.