[Arrhythmia in patients with demand pacemakers caused by faulty conduction material in the electrode. 36 cases--Value of Holter monitoring].

36 cases of paroxysmal pacing failure in patients with demand pacemakers are reported. The possible causes of pacing lead problems, excluding inhibition by muscular contractions, are related to the distal extremity at the electrode itself, on the lead (rupture) or at the connection between the lead and the pulse generator. The recognition of the precise cause of the pacing failure leads to appropriate treatment. These arrrythmias are not always easy to detect and Holter monitoring is a very useful means of diagnosis.