Document Detail


Efficacy of atrial antitachycardia pacing using the Medtronic AT500 pacemaker in patients with congenital heart disease.
MedLine Citation:
PMID:  14516898     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with congenital heart disease are vulnerable to atrial tachyarrhythmias, especially after atrial surgeries. We evaluated the efficacy of atrial arrhythmia detection and antitachycardia pacing (ATP) using the Medtronic AT500 pacemaker in 28 patients with congenital heart disease (age 30 +/- 18 years). Of 15 patients with atrial arrhythmias, 14 had atrial tachycardia events that were appropriately detected. ATP was enabled for 167 treatable episodes, successfully converting 90 (54%). Rhythms classified as ventricular tachycardia were detected 127 times, yet most were actually atrial or sinus tachycardia with 1:1 atrioventricular conduction. Atrial tachycardias in congenital heart disease are amenable to ATP algorithms in the AT500 pacemaker.
Authors:
Elizabeth A Stephenson; David Casavant; Joann Tuzi; Mark E Alexander; Ian Law; Gerald Serwer; Margaret Strieper; Edward P Walsh; Charles I Berul;
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  The American journal of cardiology     Volume:  92     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-09-30     Completed Date:  2003-10-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  871-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Atrial Fibrillation / etiology,  therapy
Atrial Flutter / etiology,  therapy
Cardiac Pacing, Artificial / methods*
Child
Female
Follow-Up Studies
Heart Defects, Congenital / complications*
Humans
Male
Middle Aged
Pacemaker, Artificial*
Tachycardia, Atrioventricular Nodal Reentry / etiology,  therapy
Tachycardia, Supraventricular / classification,  etiology,  therapy*
Treatment Outcome

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