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Updated: Feb 4, 2026

Optimization of Transesophageal Atrial Pacing to Assess Atrial Fibrillation Susceptibility in Mice
Published on: June 29, 2022
AV hysteresis causing initiation of recurrent atrial arrhythmias
Christopher Monkhouse1, Terry Dillon1, Anthony W C Chow1
1Electrophysiology Department, Barts Heart Centre, West Smithfield, London, UK.
Abstract:
A 73-year-old male with dual-chamber implantable cardioverter defibrillator (Teligen, Boston Scientific, Marlborough, MA, USA) had multiple episodes of automatic mode switch (AMS) during clinical follow-up. Over 50% of these demonstrated a similar pattern of initiation. AV Search+ in combination with sensor rate pacing can cause short-coupled atrial paced intervals that can be proarrhythmic. After programming changes were made AMS burden has significantly decreased.
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