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CorSalud (Revista de Enfermedades Cardiovasculares)

ISSN 2078-7170 (Electronic)
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2015, Number 3

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CorSalud 2015; 7 (3)

Ventricular oversensing of atrial electrical activity that inhibits VVI pacemaker and causes syncope

Chávez GE, Alonso HA
Full text How to cite this article

Language: Spanish
References: 6
Page: 235-239
PDF size: 386.41 Kb.


Key words:

artificial pacemaker, artificial cardiac pacing, syncope, atrial fibrillation.

ABSTRACT

Far-field oversensing of atrial electrical activity caused by a VVI pacemaker is a rare phenomenon; however, it may have serious clinical consequences. It has several causes and its timely identification may avoid a possible ventricular asystole. This article reports the case of a 72-year-old male who had a Biotronik Axios SR pacemaker implanted, in VVIR mode, six years ago, due to blocked atrial fibrillation. He suffered syncope due to pacemaker inhibition caused by ventricular oversensing of atrial electrical activity.


REFERENCES

  1. Barold SS, Gaidula JJ. Evaluation of normal and ab-normal sensing functions of demand pacemakers. Am J Cardiol. 1971;28:201-10.

  2. Mond HG, Sioman JG. The malfunctioning pace-maker system. Part II. Pacing Clin Electrophysiol. 1981;4:168-81.

  3. Van Gelder LM, el Gamal MI, Tielen CH. P-wave sensing in VVI pacemakers: useful or a problem? Pacing Clin Electrophysiol. 1988;11:1413-8.

  4. Tanaka K, Fujimura O. Ventricular asystole due to atrial oversensing by a VVI pacemaker: VVT mode as a simple solution. J Arrhythmia. 2012;28:288-90.

  5. Rodríguez Chávez LT. Marcapasos doble cámara: Problemas comunes y cómo resolverlos. Arch Car-diol Mex. 2006;76:S214-20.

  6. Haghjoo M. Pacing system malfunction: evaluation and troubleshooting. In: Das MK, editor. Modern Pacemakers – Present and Future. Rijeka: InTech; 2011. p. 367-80.




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C?MO CITAR (Vancouver)

CorSalud. 2015;7