Large discrepancy in optimal atrioventricular delay between sensed and paced atrial events in a pacemaker patient

A 74‐year‐old man experienced complete atrioventricular (AV) block 2 days after catheter ablation for right atrial (RA) macroreentrant tachycardia. We performed DDD pacemaker implantation with atrial septal pacing because other sites of pacing threshold were not acceptable. The maximum left ventricu...

Full description

Saved in:
Bibliographic Details
Published inPacing and clinical electrophysiology Vol. 45; no. 3; pp. 435 - 438
Main Authors Yamagishi, Yasunobu, Oginosawa, Yasushi, Miki, Hajime, Yagyu, Keishiro, Miyamoto, Taro, Tsukahara, Keita, Iwataki, Mai, Ohe, Hisaharu, Kohno, Ritsuko, Kataoka, Masaharu
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.03.2022
Subjects
Aged
atrial septal pacing
Atrioventricular Block - therapy
atrioventricular delay
Cardiac Pacing, Artificial
Catheters
conduction block
Heart
Heart Atria
Humans
Male
pacemaker
Pacemaker, Artificial
Pacemakers
Tachycardia
Ventricle
pacemaker
atrial septal pacing
conduction block
atrioventricular delay
Online AccessGet full text

Cover

More Information
Summary:A 74‐year‐old man experienced complete atrioventricular (AV) block 2 days after catheter ablation for right atrial (RA) macroreentrant tachycardia. We performed DDD pacemaker implantation with atrial septal pacing because other sites of pacing threshold were not acceptable. The maximum left ventricular outflow tract velocity time integral was 15.8 cm with sensed AV delay (40 ms) and 15.0 cm with paced AV delay (220 ms); however, this exceeded the pacemaker's maximum difference of 100 ms. We herein report the case of a large discrepancy in optimal AV delay intervals between sensed and paced atrial events, requiring consideration of proper pacemaker settings.
ISSN:0147-8389
1540-8159
DOI:10.1111/pace.14412