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Medientyp:
E-Artikel
Titel:
Risks of inappropriate use of an algorithm favouring intrinsic conduction
Beteiligte:
Lo Savio, Armando;
Crea, Bruna;
Dattilo, Giuseppe;
Crea, Pasquale
Erschienen:
Wiley, 2022
Erschienen in:Pacing and Clinical Electrophysiology
Sprache:
Englisch
DOI:
10.1111/pace.14606
ISSN:
0147-8389;
1540-8159
Entstehung:
Anmerkungen:
Beschreibung:
<jats:title>Abstract</jats:title><jats:p>An 80‐year‐old woman received a dual chamber pacemaker (Boston Scientific Accolade MRI DR) for pre‐syncopal episodes associated with transient II‐degree atrioventricular block type 1 and 2:1, recorded in 24‐h Holter monitoring. Due to residual AV conduction with I‐degree AV block, the pacemaker was set with the RYTHMIQ® algorithm, in order to reduce inappropriate ventricular pacing. A month later the patient started to complain of severe asthenia and bradycardia (46‐48 bpm). Telemetry‐supported pacemaker control revealed III‐degree AV block with junctional escape rhythm, unmasking missed switch of RYTHMIQ® algorithm.</jats:p>