Failure of atrial flutter detection by a pacemaker with a dedicated atrial flutter detection algorithm

被引:10
作者
Israel, CW
Barold, SS
机构
[1] JW Goethe Univ Hosp, Dept Med, Div Cardiol, Frankfurt, Germany
[2] Florida Cardiovasc Inst, Tampa, FL USA
[3] Tampa Gen Hosp, Tampa, FL 33606 USA
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2002年 / 25卷 / 08期
关键词
atrial flutter; automatic mode switching; dual chamber pacing; blanking periods;
D O I
10.1046/j.1460-9592.2002.01274.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Detection of atrial flutter may be difficult for pacemakers with automatic mode switching algorithms. The Medtronic Kappa 700 device pacemaker family offers a dedicated Blanked Flutter Search algorithm specifically designed for the detection of atrial flutter. This report describes how spontaneous atrioventricular conduction, resulting in a sensed QRS complex at a critical time, inhibited the function of the Blanked Flutter Search algorithm to sense "concealed" or "blanked" atrial flutter. This observation underscores the need for further refinement of pacemaker algorithms for the detection of atrial tachyarrhythmias.
引用
收藏
页码:1274 / 1277
页数:4
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