Paradoxical undersensing during atrial flutter: what is the mechanism?

Abstract:

:A patient with congenital complete heart block underwent implantation of a dual-chamber pacemaker. He presented to the emergency room with fatigue and was found to be in atrial flutter. Device interrogation revealed undersensing of 5 mV flutter waves at a programmed sensitivity of 0.5 mV. Due to undersensing, mode switch did not occur. This case illustrates apparently paradoxical undersensing of atrial flutter waves by a dual-chamber pacemaker and can be explained by a phenomenon known as "quiet timer blanking."

authors

Kalahasty G,Kenigsberg DN,Wood MA,Ellenbogen KA

doi

10.1111/j.1540-8167.2006.00571.x

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

1252-4

issue

11

eissn

1045-3873

issn

1540-8167

pii

JCE571

journal_volume

17

pub_type

杂志文章
  • Development of the cardiac conduction system as delineated by minK-lacZ.

    abstract:INTRODUCTION:Due to the lack of good molecular markers, for decades the morphogenetic origin of the cardiac conduction system has been a matter of debate. More recently, the spatial expression of minK-lacZ in the adult mouse heart has been shown, for the larger part, to be coincident with the conduction tissues. METHO...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.02467.x

    authors: Kondo RP,Anderson RH,Kupershmidt S,Roden DM,Evans SM

    更新日期:2003-04-01 00:00:00

  • Rhodiola Inhibits Atrial Arrhythmogenesis in a Heart Failure Model.

    abstract:INTRODUCTION:Rhodiola, a popular plant in Tibet, has been proven to decrease arrhythmia. The aim of this study was to elucidate the molecular mechanism and electrophysiological properties of rhodiola in the suppression of atrial fibrillation. METHODS:This study consisted of 3 groups as follows: Group 1: normal control...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13026

    authors: Liu SH,Hsiao YW,Chong E,Singhal R,Fong MC,Tsai YN,Hsu CP,Chen YC,Chen YJ,Chiou CW,Chiang SJ,Chang SL,Chen SA

    更新日期:2016-09-01 00:00:00

  • Approach to ablative management of patient with persistent atrial fibrillation and enduring pulmonary vein isolation.

    abstract::Enduring isolation of the pulmonary veins (PV) is becoming increasingly common in patients undergoing repeat catheter ablation for atrial fibrillation. We describe our approach to ablation strategy in a patient with enduring isolation of PV and briefly discuss the role of non-PV triggers. ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/jce.14464

    authors: Kalman JM,Sugumar H

    更新日期:2020-07-01 00:00:00

  • Narrow irregular QRS tachycardia with AV dissociation: what is the mechanism?

    abstract::A 39-year-old woman with no structural heart disease and frequent episodes of sudden onset palpitations was referred for the electrophysiological study. During the study, a slightly irregular narrow QRS tachycardia with AV dissociation was repeatedly induced and spontaneously terminated. Apparently, irregular cycles a...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12026

    authors: Castillo Castillo J,Peñafiel Verdú P,Martínez Sánchez J,García Alberola A

    更新日期:2013-03-01 00:00:00

  • Patient selection for biventricular pacing.

    abstract:INTRODUCTION:Biventricular pacing improves functional status in the majority of patients with drug-refractory heart failure, dilated cardiomyopathy, and interventricular conduction delay. The aim of this study was to analyze the baseline clinical and functional data of a cohort of patients implanted with a biventricula...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1540-8167.2002.tb01956.x

    authors: Lunati M,Paolucci M,Oliva F,Frigerio M,Magenta G,Cattafi G,Vecchi R,Vicini I,Cavaglià S

    更新日期:2002-01-01 00:00:00

  • Catheter ablation of atrial flutter after orthotopic heart transplantation.

    abstract:INTRODUCTION:Atrial arrhythmias, including atrial flutter, are common in orthotopic heart transplant recipients. However, only a small number of individual case reports describe the electrical circuit and catheter ablation of atrial flutter after heart transplantation. METHODS AND RESULTS:Detailed electrophysiologic e...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2004.04440.x

    authors: Heist EK,Doshi SK,Singh JP,Di Salvo T,Semigran MJ,Reddy VY,Keane D,Ruskin JN,Mansour M

    更新日期:2004-12-01 00:00:00

  • Atrial resynchronization following heart transplantation in childhood.

    abstract::Despite preserved left ventricular function, exercise capacity is often impaired after cardiac transplantation due to autonomic denervation of the donor's sinus node. We present our experience with atrio-atrial resynchronization in 2 pediatric heart transplant recipients. Both were highly active, suffered from chronot...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01678.x

    authors: Cadrin-Tourigny J,Fournier A,Khairy P,Vobecky SJ

    更新日期:2010-05-01 00:00:00

  • Endo-epicardial ablation vs endocardial ablation for the management of ventricular tachycardia in arrhythmogenic right ventricular cardiomyopathy: A systematic review and meta-analysis.

    abstract:BACKGROUND:The pathologic process of ARVC (arrhythmogenic right ventricular cardiomyopathy) typically originates in the epicardium or subepicardial layers with progression toward endocardium. However, in the most recent ARVC international task force consensus statement, epicardial ventricular tachycardia (VT) ablation ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14593

    authors: Romero J,Patel K,Briceno D,Alviz I,Gabr M,Diaz JC,Trivedi C,Mohanty S,Della Rocca D,Al-Ahmad A,Yang R,Rios S,Cerna L,Du X,Tarantino N,Zhang XD,Lakkireddy D,Natale A,Di Biase L

    更新日期:2020-08-01 00:00:00

  • Is pulmonary vein isolation enough for persistent atrial fibrillation?

    abstract::Pulmonary vein isolation (PVI) is a well-established treatment for atrial fibrillation (AF); however, studies report suboptimal outcomes in persistent AF. Adjuvant ablation targeting the substrate outside the pulmonary veins has been proposed to improve the success rates of the procedure. In this review, we summarize ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/jce.14381

    authors: Terricabras M,Verma A

    更新日期:2020-08-01 00:00:00

  • A new transseptal solution for enabling left atrial access of large delivery sheaths.

    abstract:BACKGROUND:Transseptal access for large sheaths may be encumbered by tissue resistance against the sheath-dilator stepped interface. The ExpanSure Large Access Transseptal Dilator (Baylis Medical) is designed as a single introducer and dilation device with a smooth sheath-dilator transition to support transseptal punct...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14903

    authors: Inohara T,Gilhofer T,Al-Dujaili S,Leung L,Yeung D,Tsang M,Saw J

    更新日期:2021-01-21 00:00:00

  • Fluctuation in autonomic tone is a major determinant of sustained atrial arrhythmias in patients with focal ectopy originating from the pulmonary veins.

    abstract:INTRODUCTION:This study was designed to analyze dynamic changes in autonomic tone preceding the onset of sustained atrial arrhythmias in patients with focal atrial fibrillation (AF) to determine why patients with frequent discharge from the arrhythmogenic foci develop sustained AF. METHODS AND RESULTS:Holter tapes fro...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2001.00285.x

    authors: Zimmermann M,Kalusche D

    更新日期:2001-03-01 00:00:00

  • Cardiac implantable electronic device removal in patients with left ventricular assist device associated infections.

    abstract:INTRODUCTION:Heart failure patients with left ventricular assist devices (LVADs) are at risk for infection. Cardiac implantable electronic devices (CIEDs) are commonly present in these patients. The course of infections in patients with an LVAD and a CIED is not well described. METHODS AND RESULTS:We identified 6 pati...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12461

    authors: Krishnamoorthy A,Pokorney SD,Lewis RK,Daubert JP,Greenfield RA,Hegland DD,Milano CA,Rogers JG,Schroder JN,Patel CB,Piccini JP

    更新日期:2014-11-01 00:00:00

  • Consequences of chronic frequent premature atrial contractions: Association with cardiac arrhythmias and cardiac structural changes.

    abstract:INTRODUCTION:Frequent premature ventricular contractions (PVCs) can cause cardiomyopathy (CM). Postextrasystolic potentiation (PESP) and irregularity have been in implicated as triggers of PVC-CM. Because both phenomena can also be found in premature atrial contractions (PACs), it is speculated that frequent PACs have ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14067

    authors: Gunda S,Akyeampong D,Gomez-Arroyo J,Jovin DG,Kowlgi NG,Kaszala K,Tan AY,Koneru JN,Kron J,Ellenbogen KA,Huizar JF

    更新日期:2019-10-01 00:00:00

  • Occurrence of Focal Atrial Tachycardia During the Ablation Procedure Is Associated With Arrhythmia Recurrence After Termination of Persistent Atrial Fibrillation.

    abstract:INTRODUCTION:Catheter ablation can terminate persistent atrial fibrillation (AF). However, atrial tachycardia (AT) often arises after termination of AF. METHODS AND RESULTS:Of 215 patients who underwent index stepwise ablation for persistent AF, 141 (66%) patients (64 ± 9 years) in whom AF terminated during the ablati...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13187

    authors: Iwai S,Takahashi Y,Masumura M,Yamashita S,Doi J,Yamamoto T,Sakakibara A,Nomoto H,Yoshida Y,Sugiyama T,Oumi T,Ohno M,Sato Y,Hirao K,Isobe M

    更新日期:2017-05-01 00:00:00

  • Treatment with corticosteroids is associated with an increase in ventricular arrhythmia burden in patients with clinically manifest cardiac sarcoidosis: Insights from implantable cardioverter-defibrillator diagnostics.

    abstract:INTRODUCTION:We sought to explore the relationship between ventricular tachycardia (VT) and premature ventricular complex (PVC) burden (from implantable cardioverter-defibrillator diagnostics), before and during corticosteroid use in patients with newly diagnosed clinically manifest cardiac sarcoidosis (CS). METHODS:A...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14689

    authors: Medor MC,Spence S,Nery PB,Beanlands R,Promislow S,Juneau D,de Kemp R,Ha AC,Rivard L,Gula L,Birnie DH

    更新日期:2020-10-01 00:00:00

  • Importance of catheter contact force during irrigated radiofrequency ablation: evaluation in a porcine ex vivo model using a force-sensing catheter.

    abstract:INTRODUCTION:Ablation electrode-tissue contact has been shown to be an important determinant of lesion size and safety during nonirrigated ablation but little data are available during irrigated ablation. We aimed to determine the importance of contact force during irrigated-tip ablation. METHODS AND RESULTS:Freshly e...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01693.x

    authors: Thiagalingam A,D'Avila A,Foley L,Guerrero JL,Lambert H,Leo G,Ruskin JN,Reddy VY

    更新日期:2010-07-01 00:00:00

  • Efficacy of Left Atrial Voltage-Based Catheter Ablation of Persistent Atrial Fibrillation.

    abstract:BACKGROUND:Low-voltage zones (LVZs) represent fibrotic tissue and are substrates for atrial fibrillation (AF). We hypothesized that LVZ-based substrate modification along with pulmonary vein isolation (PVI) would improve outcomes in persistent AF (PeAF) patients with LVZs, whereas PVI alone would work in patients witho...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13019

    authors: Yamaguchi T,Tsuchiya T,Nakahara S,Fukui A,Nagamoto Y,Murotani K,Eshima K,Takahashi N

    更新日期:2016-09-01 00:00:00

  • Modulation of ventricular repolarization in patients with transient left ventricular apical ballooning: a case control study.

    abstract:OBJECTIVE:Even though diffuse T wave inversion and prolongation of the QT interval in the surface electrocardiogram (ECG) have been consistently reported in patients with transient stress-induced left ventricular apical ballooning (AB), ventricular repolarization has not yet been systematically investigated in this cli...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2006.00644.x

    authors: Bonnemeier H,Ortak J,Bode F,Kurowski V,Reppel M,Weitz G,Barantke M,Schunkert H,Wiegand UK

    更新日期:2006-12-01 00:00:00

  • Cost-effectiveness of implantable cardioverter defibrillator therapy.

    abstract::Cost-efficacy assessment of implantable cardioverter defibrillator (ICD) therapy has proved contentious and may have limited uptake of ICD therapy, particularly in Europe. Published modeling assessments are too inaccurate to determine clinical practice, and assessments based on clinical studies are incomplete (from th...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.2002.tb01964.x

    authors: Morgan JM

    更新日期:2002-01-01 00:00:00

  • The relationship of bipolar left ventricular pacing stimulus intensity to cardiac depolarization and repolarization in humans with cardiac resynchronization devices.

    abstract:BACKGROUND:Myocardial depolarization can be altered by varying pacing stimulus output. This may have implications on response rates for cardiac resynchronization therapy (CRT). The purpose of our study was to determine the relationship of left ventricular (LV) pacing stimulus intensity to measures of depolarization and...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2008.01378.x

    authors: Theis C,Bavikati VV,Langberg JJ,Lloyd MS

    更新日期:2009-06-01 00:00:00

  • Routine transthoracic echocardiography to assess pericardial collections in patients after extensive left atrial catheter ablation: a prospective study.

    abstract:INTRODUCTION:Little is known about the incidence and timing of reactive pericardial collections developing after left atrial catheter ablation (LACA), and when and if transthoracic echocardiography (TTE) should be performed routinely in these patients postprocedure. METHODS AND RESULTS:Two hundred consecutive LACA pat...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2010.02008.x

    authors: Kalla M,Rajappan K,Kalra S,Thomas G,Redpath C,Earley MJ,Sporton SC,Schilling RJ

    更新日期:2011-07-01 00:00:00

  • Recent history of vasovagal syncope in a young, referral-based population is a stronger predictor of recurrent syncope than lifetime syncope burden.

    abstract:INTRODUCTION:accurate selection of patients for vasovagal syncope studies requires strong risk stratification and knowledge of the natural history of syncope. We aimed to test the hypothesis that recent history of vasovagal syncope compared to distant history better predicts subsequent recurrence of syncope. METHODS A...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1540-8167.2010.01848.x

    authors: Sumner GL,Rose MS,Koshman ML,Ritchie D,Sheldon RS,Prevention of Syncope Trial Investigators.

    更新日期:2010-12-01 00:00:00

  • Is there a potential benefit to increased irrigation channels during radiofrequency ablation? Results from a two-center prospective randomized study.

    abstract:INTRODUCTION:Open irrigation during radiofrequency (RF) application allows a higher power delivery in the setting of temperature-controlled ablation, without causing blood clots. This study sought to evaluate the clinical value of the additional 6 supplementary channels at the proximal catheter tip compared to a standa...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1540-8167.2010.01945.x

    authors: Knecht S,Sacher F,Forclaz A,Verbeet T,Hocini M,Wright M,Tran-Ngoc E,Morissens M,Peperstraete B,Derval N,Jaïs P,Linton N,Decoodt P,Haïssaguerre M,Castro-Rodriguez J

    更新日期:2011-05-01 00:00:00

  • Physical activity restriction for children and adolescents diagnosed with an inherited arrhythmia or cardiomyopathy and its impact on body mass index.

    abstract:BACKGROUND:Historically, individuals diagnosed with an inherited arrhythmia or cardiomyopathy have been advised to avoid participating in competitive sports. Consequently, these individuals may be more susceptible to weight gain and obesity. METHODS:A retrospective longitudinal chart review was performed for a populat...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13713

    authors: Christian S,Somerville M,Giuffre M,Atallah J

    更新日期:2018-12-01 00:00:00

  • Heart rate and heart rate variability in normal young adults.

    abstract:INTRODUCTION:The relationships between heart rate (HR) and HR variability (HRV) are not simple. Because both depend on the autonomic nervous system (ANS), they are not independent variables. Technically, the quantification of HRV is influenced by the duration of the cardiac cycles. The complexity of these relationships...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1994.tb01130.x

    authors: Coumel P,Maison-Blanche P,Catuli D

    更新日期:1994-11-01 00:00:00

  • Sentinel symptoms in patients with unexplained cardiac arrest: from the cardiac arrest survivors with preserved ejection fraction registry (CASPER).

    abstract:BACKGROUND:Warning symptoms may provide an opportunity to diagnose genetic disorders leading to preventative therapy. We explored the symptom history of patients with apparently unexplained cardiac arrest to determine the frequency of sentinel symptoms. METHODS:Patients with apparently unexplained cardiac arrest and n...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1540-8167.2011.02185.x

    authors: Krahn AD,Healey JS,Simpson CS,Chauhan VS,Birnie DH,Champagne J,Gardner M,Sanatani S,Chakrabarti S,Yee R,Skanes AC,Leong-Sit P,Ahmad K,Gollob MH,Klein GJ,Gula LJ,Sheldon RS

    更新日期:2012-01-01 00:00:00

  • Major complications and mortality within 30 days of an electrophysiological procedure at an academic medical center: implications for developing national standards.

    abstract:BACKGROUND:Despite growing attention to performance and quality measures, national standards for reporting of outcomes after all electrophysiology (EP) procedures have not yet been developed. We sought to characterize the incidence and timing of adverse events up to 30 days after EP procedures at a tertiary academic me...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12639

    authors: Hussain SK,Eddy MM,Moorman L,Malhotra R,Darby AE,Bilchick K,Mason P,Mangrum MJ,Dimarco JP,Ferguson JD

    更新日期:2015-05-01 00:00:00

  • Efficacy of a Bio-Absorbable Antibacterial Envelope to Prevent Cardiac Implantable Electronic Device Infections in High-Risk Subjects.

    abstract:INTRODUCTION:Cardiac implantable electronic device (CIED) infections are potentially preventable complications associated with high morbidity, mortality, and cost. A recently developed bio-absorbable antibacterial envelope (TYRX™-A) might prevent CIED infections in high-risk subjects. However, data regarding safety and...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12768

    authors: Kolek MJ,Patel NJ,Clair WK,Whalen SP,Rottman JN,Kanagasundram A,Shen ST,Saavedra PJ,Estrada JC,Abraham RL,Ellis CR

    更新日期:2015-10-01 00:00:00

  • Paradoxical effects of interatrial conduction delay in a hypertrophic cardiomyopathy patient in the long-term: time is a great healer.

    abstract::We present a unique case where early proarrhythmic and late antiarrhythmic characteristics of interatrial conduction delay were observed during the long-term progression of HCM. Occurrence of AT constantly increased as the interatrial conduction delay became more prominent, while the P-wave width in sinus rhythm and t...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2010.01893.x

    authors: Bauernfeind T,Caliskan K,Vletter WB,Ten Cate FJ,Dabiri L,de Groot N,Jordaens L,Szili-Torok T

    更新日期:2011-05-01 00:00:00

  • Pulmonary vein firing triggering atrial fibrillation after open heart surgery.

    abstract::We report the case of a 44-year-old woman with obstructive hypertrophic cardiomyopathy without history of prior arrhythmias who underwent surgical myectomy. She developed symptomatic postoperative atrial fibrillation (AF) that was refractory to antiarrhythmic therapy and could not be adequately rate controlled. AF alw...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2002.01300.x

    authors: Saad EB,Saliba WI,Marrouche NF,Natale A

    更新日期:2002-12-01 00:00:00