Document Detail

Fusion or confusion on Holter recording.
MedLine Citation:
PMID:  1712949     Owner:  NLM     Status:  MEDLINE    
Holter recording of a patient with an implanted dual chamber rate responsive pacemaker revealed an electrocardiogram, where ventricular depolarization seemed to be initiated by the atrial stimulus. In a second patient with a VVI pacemaker, Holter recording showed delay of the pacemaker impulse that was registered after the onset of ventricular depolarization. Misalignment in one of the recorder heads of the display system was responsible for this phenomenon, which in case of dual chamber pacing could have been easily misinterpreted as pacemaker malfunction.
L M van Gelder; F A Bracke; M I el Gamal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  14     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1991 May 
Date Detail:
Created Date:  1991-08-16     Completed Date:  1991-08-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  760-3     Citation Subset:  IM    
Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.
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MeSH Terms
Atrioventricular Node / physiopathology
Bradycardia / therapy
Cardiac Pacing, Artificial
Electrocardiography, Ambulatory*
Pacemaker, Artificial*
Comment In:
Pacing Clin Electrophysiol. 1992 Feb;15(2):245-6   [PMID:  1372424 ]

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