Pacemaker malfunction - Disengagement of lead PIN from connector head - Rare cause for loss of capture

Pacemaker malfunction - Disengagement of lead PIN from connector head - Rare cause for loss of capture

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Pacemaker malfunctions are due to multiple reasons like lead dislodgement, lead perforation, lead maturation process, lead conductor Volleyball - Balls - Beach or insulation failure, battery depletion, loose set screw and inadequate seating of terminal connector pin within connector block.We report a case of the 57-year-old female, who underwent dual chamber pacemaker implantation few years back for complete heart block and this time she presented to us with symptomatic bradycardia.After pacemaker interrogation, electrocardiogram and chest X-ray, the Dryer Wall Vent Louvre final diagnosis of pacemaker malfunction due to loss of ventricular capture as a result of the poor connection between the lead pin and connector header was made.