AI Article Synopsis

  • A 66-year-old patient with a pacemaker for intermittent atrioventricular block had an ECG showing P waves that weren't followed by QRS complexes, suggesting possible device issues.
  • The pacemaker used a special algorithm called Managed Ventricular Pacing from Medtronic, which can produce the observed ECG pattern.
  • Understanding specific pacemaker algorithms is crucial for accurately interpreting heart rhythms and distinguishing between normal function and potential dysfunction.

Article Abstract

A 66-year-old patient with a DR pacemaker for intermittent atrioventricular block presented with an electrocardiogram (ECG) showing some P waves non followed by QRS complexes, raising suspicion of device dysfunction. The device was equipped with a special algorithm (Managed Ventricular Pacing; Medtronic), and the observed ECG tracing was a normal consequence of the function of such algorithms. Being aware of the function of specific algorithms is essential to adequately analyze rhythms.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5588790PMC
http://dx.doi.org/10.1177/1179547617729651DOI Listing

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