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- W113935726 abstract "Irwin, Me., et al: Intra-operative analyses of ventricular-atrial conduction (VAC) was studied as a means of predicting subsequent development of pacemaker-induced reciprocating tachycardia (PIRT) in 20 patients selected for DDD pulse generator implants. At the time of lead implantation right atrial electrograms were performed while pacing the ventricle at varying cycle lengths. Patients were followed up post implantation at one and three weeks and then at six weekly intervals over a twelve month period. On-going analyses were conducted on atrial and ventricular stimulation and sensing thresholds and sinus triggering capabilities at slow and accelerated sinus rates. Programming sequences to provoke and terminate V AC and sustained PIR T were studied. The effects of myopotential sensing on pacemaker function including initiation of PIR T were also assessed. Eight of II patients with Sick Sinus Syndrome (SSS) and 2 of 9 patients with Atrio-ventricular Block (A VB) manifested intra-operative V AC. Follow-up showed that 7 of the 8 SSS patients and both of the AVB patients with VAC developed PIRT, either spontaneously or on provocation. Of the remaining 10 patients without intra-operative manifestation of VAC only one developed PIRT (p < 0.001). This study suggests that intra-operative analysis of VAC is an effective predictor of subsequent PIR T, whereas its absence suggests minimal potential for PIR T post implantation of a DDD pulse generator." @default.
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- W113935726 date "1983-01-01" @default.
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- W113935726 title "A Method for Predicting the Potential for Pacemaker-Induced Reciprocating Tachycardias in Patients with DDD Pulse Generators" @default.
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- W113935726 doi "https://doi.org/10.1007/978-3-642-72367-4_77" @default.
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