Publication Name	World Journal of Cardiology
Manuscript ID	118863
Country	China

Category	Cardiac & Cardiovascular Systems
Manuscript Type	Case Report
Article Title	Phrenic nerve capture caused by atrial electrode dislogement: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Xue-Song Zhang, Fei Wang, Xue-Wen Qi, Pella Shafii, Xiao-Ning Cui and Yue-Hai Wang
Funding Agency and Grant Number	Funding Agency Grant Number Key Research and Development Plan Policy Guidance Projects in Liaocheng City 2024YD24 2025 Liaocheng Health Policy Research Project
Corresponding Author	Yue-Hai Wang, Associate Professor, Chief Physician, MD, Department of Cardiology, Liaocheng People's Hospital and Liaocheng Hospital Affiliated to Shandong First Medical University, No 67 Dongchang West Road, Liaocheng 252000, Shandong Province, China. wyh_1234567@126.com
Key Words	Dual-chamber pacemaker; Shared puncture site; Atrial lead dislodgement; Diaphragmatic flutter; Phrenic nerve capture; Case report
Core Tip	During the dual-chamber pacemaker implantation, through the same venous puncture site, a passive lead was positioned in the atrium and an active lead was positioned in the ventricle. The patient developed diaphragmatic flutter postoperatively. Electrophysiological evaluation confirmed poor atrial sensing. The frequency of diaphragmatic flutter varied according to the programmed atrial pacing rate, whereas ventricular sensing and pacing thresholds remained normal. After reprogramming the device to VVI mode, the diaphragmatic flutter resolved completely. X-ray examination revealed atrial lead displacement. The displaced atrial lead triggered diaphragmatic flutter by stimulating the phrenic nerve.
Citation	Zhang XS, Wang F, Qi XW, Shafii P, Cui XN, Wang YH. Phrenic nerve capture caused by atrial electrode dislogement: A case report. World J Cardiol 2026; In press

Received	2026-01-14 02:35
Peer-Review Started	2026-01-14 02:38
First Decision by Editorial Office Director	2026-02-09 09:27
Return for Revision	2026-02-09 09:27
Revised	2026-02-24 14:43
Publication Fee Transferred	2026-02-26 15:22
Second Decision by Editor	2026-03-18 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-18 08:08
Articles in Press	2026-03-18 08:08
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8462 (online)
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