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Europace Advance Access published online on May 2, 2006
Europace, doi:10.1093/europace/eul036
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© The European Society of Cardiology 2006. All rights reserved
Received August 21, 2005
Accepted February 24, 2006

Case report

Efficacy of patient activated antitachycardia pacing therapy using the Medtronic AT500 pacemaker

Stefan Weber 1 *, Andreas Jeron 1, Hans J. Schneider 1, and Frank Muders 1

1 Klinik und Poliklinik für Innere Medizin II, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93042 Regensburg, Germany

* To whom correspondence should be addressed.
Stefan Weber, E-mail: stefan.weber{at}klinik.uni-regensburg.de


  Abstract

A 28-year-old female with corrected anomalous pulmonary venous drainage presented with multiple atrial arrhythmias many years later. Ablation techniques eliminated most of the arrhythmias except atrial tachycardia with 1:1 AV conduction. A dual-chamber pacemaker with antiatrial tachycardia features was implanted and was shown to be effective in arrhythmia control when the standard algorithm was overridden by an external patient activation device.

Keywords: Atrial arrhythmias; Pacemaker; Electrophysiology; Cardiac surgery.
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