May 1, 1984Pacing and Clinical Electrophysiology

Management of Pacemaker Circus Movement Tachycardias

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Why the study?

Can programming measures and medication prevent or terminate pacemaker circus movement tachycardia in patients with DDD pacemakers and retrograde V-A conduction?

Structured PICO

Can programming measures and medication prevent or terminate pacemaker circus movement tachycardia in patients with DDD pacemakers and retrograde V-A conduction?

Population

11 patients with implanted DDD pacemakers, 5 of whom had the capacity to conduct retrogradely to the atrium.

Intervention

Methods to prevent or terminate pacemaker circus movement tachycardia (PCMT), including programming changes (decreasing atrial sensitivity, high upper rate with short A-V interval, low lower rate, avoiding Wenckebach response), medication, and magnet use.

Outcome

Control or termination of pacemaker circus movement tachycardia (PCMT).

The presence of V-A conduction is not an absolute contraindication to DDD pacing, as pacemaker circus movement tachycardias can be effectively managed with programming adjustments and medication.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

May support DDD pacing despite retrograde conduction via programming or medication; leaves open generalizability beyond this small case series.

Cite This Study

Dulk et al. (1984) studied this question.

synapsesocial.com/papers/6a838692b59abb3f3b3072c3 https://doi.org/10.1111/j.1540-8159.1984.tb04916.x

View Full Paper

Ask AI

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Implication

May support DDD pacing despite retrograde conduction via programming or medication; leaves open generalizability beyond this small case series.

Management of Pacemaker Circus Movement Tachycardias

Structured PICO

Discussion

Implication

Cite This Study

Management of Pacemaker Circus Movement Tachycardias

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider