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http://dx.doi.org/10.1016/j.hrthm.2010.12.042DOI Listing

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Article Synopsis
  • A 25-year-old runner was fitted with a VDD pacemaker after treatment for a heart rhythm issue and experienced intermittent heart block.
  • The pacemaker was programmed with a rate-adaptive AV delay algorithm to adjust the heart's rhythm during exercise, which led to a specific type of repetitive tachycardia (PMT) due to abnormal conduction pathways.
  • High-density electroanatomic mapping was used successfully to isolate and ablate the abnormal conduction route causing the PMT without affecting normal heart function.
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