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Pacemaker-mediated tachycardias: an unresolved problem.

J W Harthorne·A C Eisenhauer·D M Steinhaus
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Abstract

The advent of dual chamber pacing systems that restore atrioventricular synchrony and allow rate variability in response to physiologic stress has provided a major advance in pacing therapy. Undesirable pacemaker-mediated tachycardias may arise when the atrial sensing amplifier of a VDD or DDD device detects a retrogradely conducted P-wave, ectopic atrial tachycardia, myopectoral contractions, or environmental electromagnetic interference. The rate of the resultant tachycardia is determined by the programmed upper tracking rate of the pacemaker. Although seldom life-threatening, troublesome myocardial ischemia may ensue in patients with coronary artery disease. In most instances, the incidence and rate of pacemaker-mediated tachycardias may be minimized by judicious programming.

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Cardiac Pacing, ArtificialElectrophysiologyHeart BlockHeart Conduction SystemHumansPacemaker, ArtificialTachycardiaJournal ArticleReview

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BibTeXRIS

J W Harthorne, A C Eisenhauer, D M Steinhaus. 1984. Pacemaker-mediated tachycardias: an unresolved problem.. https://doi.org/10.1111/j.1540-8159.1984.tb05674.x

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