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Europace 2002 4(3):329-331; doi:10.1053/eupc.2002.0244
© 2002 by European Society of Cardiology
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ISSUE ARRYTHMIA

Prolonged PR interval despite a programmed short sensed AV delay: the role of intra-atrial conduction time

A. Bohm1, A. Pintér1, G. Dudás2 and I. Préda1

12nd Department of Medicine, Faculty of Health Sciences, Semmelweis University Budapest, Hungary; 2Department of Cardiovascular Surgery, Faculty of Health Sciences, Semmelweis University Budapest, Hungary

Abstract

Intracavitary electrogram (IEGM) is a useful tool in the interpretation of difficult pacemaker electrograms. A case of 320 ms P–V spike interval on the surface ECG despite a 110 ms programmed sensed AV delay is presented. Atrial IEGM revealed atrial tachycardia with a significant atrial conduction delay.

Key Words: Intracavitary electrogram, atrial tachycardia, atrial conduction delay

Corresponding author: Dr Adam Bohm, 2nd Department of Medicine, Faculty of Health Sciences, Semmelweis University, Szabolcs Str. 33–35, Budapest 1135, Hungary. Tel. & Fax: 36 1 350 2011; e-mail: bohm{at}freemail.hu


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