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Dual chamber pacing mode in an atrial antitachycardia pacing device without a ventricular lead - A necessary evil.

作者信息

Noheria Amit, Friedman Paul A, Asirvatham Samuel J, McLeod Christopher J

机构信息

Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.

出版信息

Indian Pacing Electrophysiol J. 2015 Jul 29;15(2):133-7. doi: 10.1016/j.ipej.2015.07.012. eCollection 2015 Mar-Apr.

DOI:10.1016/j.ipej.2015.07.012
PMID:26937101
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4750122/
Abstract

We present a case of a single chamber atrial pacemaker implanted for sinus node dysfunction and treatment of macroreentrant atrial tachycardias with atrial antitachycardia pacing. The patient presented with sustained atrial tachycardia above the detection rate, however, the device was unable to detect the tachycardia and did not deliver the programmed therapy. We discuss the nuances of the atrial tachyarrhythmia detection algorithms, and the programming strategies to maximize detection of atrial arrhythmias in a single chamber atrial pacemaker.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f816/4750122/8ab6572ca747/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f816/4750122/9e4023aad5d6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f816/4750122/d950f99cb03b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f816/4750122/8ab6572ca747/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f816/4750122/9e4023aad5d6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f816/4750122/d950f99cb03b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f816/4750122/8ab6572ca747/gr3.jpg

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本文引用的文献

1
Long term management of atrial arrhythmias in young patients with sick sinus syndrome undergoing early operation to correct congenital heart disease.
Europace. 2006 Jul;8(7):488-94. doi: 10.1093/europace/eul069.
2
Efficacy of atrial antitachycardia pacing using the Medtronic AT500 pacemaker in patients with congenital heart disease.使用美敦力AT500起搏器进行心房抗心动过速起搏对先天性心脏病患者的疗效。
Am J Cardiol. 2003 Oct 1;92(7):871-6. doi: 10.1016/s0002-9149(03)00905-6.
3
Detection of atrial fibrillation and flutter by a dual-chamber implantable cardioverter-defibrillator. For the Worldwide Jewel AF Investigators.双腔植入式心脏复律除颤器检测心房颤动和心房扑动。全球Jewel AF研究人员。
Circulation. 2000 Feb 29;101(8):878-85. doi: 10.1161/01.cir.101.8.878.