Pacemaker repetitive nonreentrant ventriculoatrial synchrony. Why did automatic mode switching occur?

Abstract:

:Repetitive nonreentrant ventriculoatrial synchrony during dual-chamber pacing is characterized by long intervals alternating with short intervals. This arrangement activated automatic mode switching in a St Jude dual-chamber pacemaker in which the algorithm requires an atrial sensed event for automatic mode switching initiation. Automatic mode switching activation by an atrial sensed event (retrograde P wave) was puzzling because the programmed postventricular atrial period was longer than the retrograde ventriculoatrial conduction time. The explanation is presented in the form of questions and answers to facilitate the understanding of pacemaker function and complex timing cycles.

journal_name

J Electrocardiol

authors

Barold SS,Stroobandt RX,Van Heuverswyn F

doi

10.1016/j.jelectrocard.2012.04.003

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

420-425

issue

4

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(12)00125-2

journal_volume

45

pub_type

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