Jove
Visualize
Contact Us

Related Experiment Videos

Pacemaker-mediated tachycardia: management by pacemaker interrogation/reprogramming in the ED.

Richard M Sobel1, Peter R Donaldson, Nimish Dhruva

  • 1Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA, USA. rsobel@aol.com

The American Journal of Emergency Medicine
|July 5, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Low dose ketamine in the age of opioids.

The American journal of emergency medicine·2017
Same author

Tissue plasminogen activator for transient ischemic attack: the case for "off-label" use of thrombolytics.

The American journal of emergency medicine·2014
Same author

Surgical versus nonsurgical treatment of acute Achilles tendon rupture.

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine·2012
Same author

Does generalized joint hypermobility predict joint injury in sport? A review.

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine·2012
Same author

Randomized Controlled Trial of Ondansetron vs. Prochlorperazine in Adults in the Emergency Department.

The western journal of emergency medicine·2011
Same author

Update on depression in neurologic illness: stroke, epilepsy, and multiple sclerosis.

Current psychiatry reports·2005
Same journal

Isolated angioedema in the emergency department: rarely an allergic reaction.

The American journal of emergency medicine·2026
Same journal

Diagnostic accuracy of emergency department triage systems for predicting clinical severity: A systematic review and meta-analysis of five-level triage scales.

The American journal of emergency medicine·2026
Same journal

Methanol toxicity from inhalational abuse of a methyl acetate-containing nail polish remover.

The American journal of emergency medicine·2026
Same journal

Regarding strategies, feasibility of implementations and results of HIV screening in emergency departments.

The American journal of emergency medicine·2026
Same journal

Rocuronium dosing for rapid sequence intubation: A retrospective analysis in ED and ICU settings.

The American journal of emergency medicine·2026
Same journal

Clinical features of adults with undiagnosed acute leukemia in the emergency department: A descriptive study.

The American journal of emergency medicine·2026
See all related articles
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Pacemaker-mediated tachycardia (PMT) can be diagnosed and treated in the emergency department. Pacemaker interrogation and reprogramming offer rapid, effective management for symptomatic PMT patients.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Pacemaker-mediated tachycardia (PMT) is a known complication of pacemaker use.
  • Suspecting PMT is crucial when magnet application temporarily resolves an unknown tachycardia in pacemaker patients.

Observation:

  • A case of symptomatic PMT was effectively managed using pacemaker interrogation (PI) and reprogramming.
  • Intracardiac ECG via PI proved superior to standard 12-lead ECG for discerning PMT.

Findings:

  • Atrial flutter was identified as the initiating dysrhythmia using a pacemaker interrogator.
  • Overdrive pacing successfully restored normal sinus rhythm, followed by pacemaker reprogramming.

Implications:

  • This case highlights the efficacy of PI, overdrive pacing, and reprogramming for ED management of PMT.

Related Experiment Videos

  • Pacemaker interrogator/programmers are valuable, rapid, noninvasive tools for emergency departments.