Doi Y, Takada K, Nakagaki O, Yoshimura K, Ogawa S, Hiroki T, Arakawa K
Department of Internal Medicine, Saiseikai Fukuoka General Hospital, Japan.
Pacing Clin Electrophysiol. 1989 Apr;12(4 Pt 1):569-73. doi: 10.1111/j.1540-8159.1989.tb02702.x.
Cross stimulation in a dual chamber pacing system, in which the atrial stimulus intermittently captured the right ventricle, occurred immediately after pacemaker implantation in a 71-year-old man. It was prevented temporarily by reducing the pacing rate so that P wave synchronous ventricular (VDD) pacing resulted and by reducing the output of the atrial circuit from 5 to 4 volts. Cross stimulation disappeared spontaneously 14 days after surgery.