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Europace Advance Access published online on January 21, 2008
Europace, doi:10.1093/europace/eum280
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORT

Pacemaker malfunction or non-physiological ventricular pacing?

Óscar Cano Pérez*, María José Sancho-Tello de Carranza, Joaquín Osca Asensi and José A. Olagüe de Ros

Division of Cardiac Arrhythmias and Electrophysiology, Cardiology Department, La Fe University Hospital, Av Campanar, 21, 46009 Valencia, Spain

Pacemaker manufacturers have developed new algorithms to preserve intrinsic conduction in order to reduce unnecessary stimulation and looking for physiological pacing. This case report highlights some of the new challenges related to these algorithms which include possible ECG misinterpretations and inaccurate programming leading to potential negative consequences.

Key Words: Physiological pacing

* Corresponding author. C/ Lope de Rueda, 48-3º, 46001 Valencia, Spain. Tel: +34 652 565 982; fax: +34 96 197 33 14.E-mail address: oscape13{at}hotmail.com

Manuscript submitted 10 November 2007. Accepted after revision 30 November 2007.


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