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It was reported that the patient presented remotely via merlin.Net.Upon review of the transmission, far-field r-wave (far-r) oversensing and atrial undersensing were identified.The patient subsequently presented to the emergency department for further evaluation.Upon device interrogation, ventricular non-capture was observed at maximum output in both unipolar and bipolar configurations.In addition, the atrial lead exhibited failure to sense.As a result, the pacemaker was explanted and replaced, and the atrial and right ventricular (rv) leads were capped and replaced on (b)(6) 2026.The patient was reported to be stable throughout the event and subsequent procedures.
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