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Europace Advance Access published online on November 6, 2009

Europace, doi:10.1093/europace/eup343
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.


SHORT COMMUNICATION

A tale of four atrioventricular intervals

Anandaraja Subramanian*, Raja J. Selvaraj and Douglas Cameron

Division of Electrophysiology, Department of Cardiology, Toronto General Hospital, University Health Network, 200 Elizabeth Street, Toronto, ON, Canada M5G 2C4

The introduction of new pacing algorithms for preserving intrinsic atrioventricular conduction has made the interpretation of normal pacemaker function at times challenging. Electrocardiographic (ECG) findings in a patient with apparent pacemaker malfunction is presented and interpretation given. During this process, the managed ventricular pacing algorithm is described to interpret the ECG findings and the potential pitfalls of this algorithm is discussed.


* Corresponding author. Tel: +91 413 223 5655, Fax: +1 416 340 5087, Email: saraja79{at}yahoo.com

Manuscript submitted 20 May 2009. Accepted after revision 9 October 2009.


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