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Europace Advance Access originally published online on January 20, 2008
Europace 2008 10(3):334-335; doi:10.1093/europace/eum299
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

PACING

Efficacy of closed-loop stimulation with epicardial leads in an infant with congenital atrioventricular block

Alfredo Di Pino*, Salvatore Agati and Innocenzo Bianca

Paediatric Cardiology and Cardiac Surgery Unit, S. Vincenzo Hospital, Contrada Sirina, 98039 Taormina, Messina, Italy

We present the case of an infant with a congenital atrioventricular block and sinus node dysfunction that was implanted with a pacemaker with physiological closed-loop stimulation (DDD-CLS) pacing mode with two epicardial leads. We have observed the response of DDD-CLS system with respect to conventional rate responsive accelerometer-based mode (DDDR): the atrial pacing percentage and the 24 h rate trend showed higher values during DDD-CLS compared with DDDR. In this patient, rate responsive feature seems preserved in DDD-CLS also using epicardial leads.

Key Words: Epicardial, Closed-loop stimulations, Infant

* Corresponding author. Tel: +39 0942579550. E-mail address: dipinoa{at}yahoo.it

Manuscript submitted 19 October 2007. Accepted after revision 19 December 2007.


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