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Journal of Arrhythmia
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Journal of Arrhythmia
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Journal of Arrhythmia
Article . 2012
License: CC BY NC ND
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Journal of Arrhythmia
Article . 2012
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A case of biventricular pacing with a spike on T‐wave caused by the algorithm maintaining biventricular pacing rate

Authors: Manabu Fujimoto; Tatsunori Ikeda; Masayuki Tuchida; Kouichirou Kontani; Masaru Kiyama; Yasukazu Okeie; Masakazu Yamamoto;

A case of biventricular pacing with a spike on T‐wave caused by the algorithm maintaining biventricular pacing rate

Abstract

AbstractCardiac‐resynchronization therapy (CRT) improves the cardiac function of patients with left ventricular (LV) dyssynchrony. Maintenance of the biventricular pacing rate is very important in managing the hemodynamics in patients implanted with CRT devices. A low biventricular pacing rate, for example, in cases with atrial fibrillation or rapid intrinsic atrioventricular (AV) conduction, decreases the benefits of CRT. The LUMAX HF‐T 540 device series (BIOTRONIK, Berlin, Germany) has a LV‐triggered pace algorithm, which allows biventicular pacing rates to be maintained even during rapid intrinsic rhythms caused by shortened AV conduction and/or premature ventricular contraction (PVC) occurring in the right ventricle. We encountered a case of CRT device implantation with a defibrillator wherein this triggered pace algorithm caused a spike on T‐wave due to T‐wave oversensing. By remote monitoring, we were also able to determine that the T‐wave oversensing was due to a PVC. The LUMAX 540 series allows for changes in the sensing threshold and filter settings of the device, which facilitated the elimination of T‐wave oversensing in this case.

Related Organizations
Keywords

Cardiac resynchronization therapy, Sensing threshold, RC666-701, Diseases of the circulatory (Cardiovascular) system, T-wave oversensing

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
gold