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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

References

[1] Furman S. The ECG interpretation channel. Pacing Clin Electrophysiol 1990; 13: 255.[Medline]

[2] Levine PA and Love CJ. Pacemaker diagnostics and evaluation of pacing system malfunction. In Ellenbogen KA, Kay NG, Wilkoff BL (Eds.). Clinical Cardiac Pacing and Defibrillation. 2nd Edition 2000; Philadelphia W. B. Saunders Co pp. 827–875.

[3] Bohm A, Pintér A, Préda I. Ventriculo-atrial cross-talk dependent pacemaker syndrome. Pacing Clin Electrophysiol 2000; 23: 1062–1063.[Medline]

[4] Kamalvand K, Tan K, Willems R, et al. Use of pacemaker diagnostic function for recognition and management of cardiac arrhythmias. Pacing Clin Electrophysiol 1996; 19: 514–515.[Medline]

[5] Mond HG. The Cardiac Pacemaker. Function and Malfunction. 1983; New York Grune & Stratton 181–183.


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This Article
Right arrow Abstract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
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Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Bohm, A.
Right arrow Articles by Préda, I.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bohm, A.
Right arrow Articles by Préda, I.
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What's this?