Barold S S, Falkoff M D, Ong L S, Heinle R A
Cardiol Clin. 1985 Nov;3(4):565-85.
Signals responsible for pacemaker oversensing may arise from the pacing system itself, P or T wave, concealed ventricular extrasystoles, skeletal muscle potentials, and distant electromagnetic fields. Oversensing is the most common cause of pacemaker pauses and a common clinical problem during follow-up of patients with implanted pulse generators. This article reviews the mechanisms and diagnosis of oversensing and the importance of multiprogrammability for its treatment.
导致起搏器感知过度的信号可能源于起搏系统本身、P波或T波、隐匿性室性期前收缩、骨骼肌电位以及远处的电磁场。感知过度是起搏器停顿的最常见原因,也是植入脉冲发生器患者随访期间常见的临床问题。本文综述了感知过度的机制、诊断以及多程控功能在其治疗中的重要性。