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Atrioventricular synchrony in the background of ventricular noise and undersensing
Paweł T Matusik1,2, Andrzej Ząbek1, Patrycja S Matusik3
1Department of Electrocardiology, The John Paul II Hospital, Kraków, Poland.
Abstract:
The 24-hr electrocardiogram (ECG) interpretation in patients with double-chamber pacemakers may be challenging. The difficulty increases if not well-known pacemaker algorithm and device malfunction coexist. We show atrial synchronization pace (ASP) in a patient with ventricular lead damage. We provide detailed description of electrocardiogram and intracardiac electrogram. ASP may confuse 24-hr ECG monitoring interpretation, especially in patients with ventricular lead dysfunction.
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