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March 31, 2026Journal of Electrocardiology0 citations

Accidental reactivation of a retained pacemaker leading to competitive ventricular pacing between two pacemakers: A case report

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XWXiaomao WuZLZelin LiLXL L Xu

Key Result

Targeted interventions successfully resolved competitive ventricular pacing caused by the accidental reactivation of a retained pacemaker two years after device replacement.

Key Points

  • This report aims to describe a rare case of competitive ventricular pacing caused by the unexpected reactivation of a retained pacemaker.
  • Detailed analysis of electrocardiography showing two distinct QRS morphologies.
  • Holter monitoring and imaging studies conducted to confirm dual pacemaker effects.
  • Implementation of targeted interventions to resolve the issue.
  • Identification of two distinct QRS morphologies due to dual pacemakers.
  • Successful resolution of competitive ventricular pacing following targeted interventions.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
1 patient with a retained pacemaker and a new pacemaker implanted two years prior
I
Intervention
Targeted interventions to address inadvertent reactivation of the retained pacemaker
O
Outcome
Resolution of competitive ventricular pacing

Highlights a rare case of competitive ventricular pacing due to accidental reactivation of a retained pacemaker and its successful resolution.

Abstract

Herein, we report a rare clinical case of competitive ventricular pacing caused by the accidental reactivation of a retained pacemaker two years after device replacement. Initially, two years following the implantation of the new pacemaker, the device demonstrated typical dual-chamber pacing. However, recent follow-up electrocardiography revealed two distinct QRS morphologies. Holter monitoring, imaging studies, and a review of prior procedural records confirmed that this phenomenon was caused by the unexpected reactivation of the retained pacemaker, leading to competitive ventricular pacing. A detailed analysis of the underlying causes of inadvertent reactivation led to the implementation of targeted interventions, which successfully resolved the issue of competitive ventricular pacing induced by dual pacemakers.

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Cite This Study

Wu et al. (2026) conducted a case report in Competitive ventricular pacing (n=1). Targeted interventions for pacemaker deactivation was evaluated on Resolution of competitive ventricular pacing. Targeted interventions successfully resolved competitive ventricular pacing caused by the accidental reactivation of a retained pacemaker two years after device replacement.

synapsesocial.com/papers/6a025c82edf6f481385946ebhttps://doi.org/10.1016/j.jelectrocard.2026.154236
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