Document Detail


Intermittent pacemaker syndrome: revision of VVI pacemaker to a new cardiac pacing mode for tachy-brady syndrome.
MedLine Citation:
PMID:  2437541     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with tachy-brady syndrome manifested by paroxysmal atrial fibrillation and symptomatic sinus bradycardia and treated by VVI pacing developed pacemaker syndrome during episodes of ventricular pacing. His cardiac pacemaker was revised to a dual chamber system utilizing the new AV sequential DDI pacing mode which eliminated pacemaker-related tachycardias and totally abolished the pacemaker syndrome symptoms. There have been no further episodes of atrial fibrillation, possibly due to elimination of temporal dispersion of refractory periods during bradycardia. The propensity for atrial fibrillation has also been minimized by excluding competitive atrial stimulation during DVI pacing. The DDI mode provides the clinician increased utility and flexibility in the use of AV sequential pacing therapy.
Authors:
D J McCormick; J W Shuck; R A Ansinelli
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  10     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1987 Mar 
Date Detail:
Created Date:  1987-05-26     Completed Date:  1987-05-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  372-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Arrhythmia, Sinus / therapy
Arrhythmias, Cardiac / etiology*,  therapy
Atrial Fibrillation / therapy
Bradycardia / therapy
Cardiac Pacing, Artificial
Equipment Failure
Humans
Male
Middle Aged
Pacemaker, Artificial / adverse effects*
Syndrome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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