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Atrial lead malfunction presenting as new onset pacemaker-mediated tachycardia
S Serge Barold1, Roland X Stroobandt
1The Florida Heart Rhythm Institute, Tampa, FL, USA. ssbarold@aol.com
Abstract:
This report describes the de novo occurrence of pacemaker-mediated tachycardia (PMT) in a patient with a dual-chamber implantable cardioverter-defibrillator and stable retrograde ventriculoatrial conduction time. The same rate-adaptive post-ventricular atrial refractory period (PVARP) duration had previously prevented PMT. Oversensing of atrial false signals from a defective lead shortened the PVARP with consequent sensing of retrograde conduction.
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