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July 1, 1982Pacing and Clinical Electrophysiology173 citations

Endless Loop Tachycardia in an AV Universal (DDD) Pacemaker

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SFSeymour FurmanElectrophysiologyJFJohn D. FisherElectrophysiology

Structured PICO

P
Population
Patient with an implanted AV universal (DDD) pacemaker experiencing pacemaker-mediated tachycardia
I
Intervention
Application of a magnet to the pulse generator
O
Outcome
Termination of tachycardia

Application of a magnet can successfully terminate pacemaker-mediated endless loop tachycardia in DDD pacemakers by rendering the device insensitive to incoming signals.

Abstract

Implantation of an AV universal DDD pacemaker, stimulating and sensing both atrium and ventricle caused a pacemaker mediated tachycardia, begun by a P wave occurring after a premature ventricular contraction, and sustained by P waves caused by retrograde AV conduction. The tachycardia was terminated by application of a magnet to the pulse generator which temporarily made it insensitive to incoming signals, both P and QRS.

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Cite This Study

Furman et al. (1982) studied this question.

synapsesocial.com/papers/6a20af34920e38fa09f9e80fhttps://doi.org/10.1111/j.1540-8159.1982.tb02265.x
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