Flash Pulmonary Edema From Brief Loss of Biventricular Pacing During CRT-D Generator Exchange

Key Result

Brief loss of biventricular pacing during CRT-D generator exchange can precipitate flash pulmonary edema.

Key Points

• To examine the incidence of pulmonary edema related to loss of biventricular pacing during generator exchange.
• Case analysis of acute cardiac events during CRT-D generator exchange.
• Monitoring of heart function before and after procedure.
• Assessment of pulmonary edema onset following arrhythmias.
• Reported case of flash pulmonary edema immediately after pacing loss.
• Association between arrhythmia and rapid pulmonary fluid accumulation identified.
• Need for vigilant monitoring during generator exchanges emphasized.