t-wave oversensing occurs when the counter starts giving dual beeps for every cardiac cycle instead of one. this usually happens when the monitoring lead displays a tall t wave, which is also sharp. r wave sensing algorithms of the devices do not sense t wave because the slow rate of the t wave is much less than that of the r wave. but the slow rate of t waves may change with time and also beca...

conclusions switching ams off may increase biventricular pacing in some patients. case presentation in this case series, we present a combination of far field sensing and automatic mode switching (ams) in six patients. it is found that this combination causes ventricular sensing (vs) episodes with wide qrs and no synchronization. we turn off the ams and alleviate the problem. introduction cardi...

atrial fibrillation (af) is the most common complication of coronary artery bypass graft surgery (cabg). the reported incidence of af after cabg varies from 20% to 40%. postoperative af (poaf) is associated with increased incidence of hemodynamic instability, thromboembolic events, longer hospital stays, and increased health care costs. a variety of pharmacological and nonpharmacological strate...

OBJECTIVE To investigate the response of the transplanted heart to different pacing modes and to synchronisation of the recipient and donor atria in terms of cardiac output at rest. DESIGN Doppler derived cardiac output measurements at three pacing rates (90/min, 110/min and 130/min) in five pacing modes: right ventricular pacing, donor atrial pacing, recipient-donor synchronous pacing, donor...

BACKGROUND Although temporary cardiac pacing is infrequently needed, temporary epicardial pacing wires are routinely inserted after valve surgery. As they are associated with infrequent, but life threatening complications, and the decreased need for postoperative pacing in a group of low risk patients; this study aims to identify the predictors of temporary cardiac pacing after valve surgery. ...

Cardiac pacing is the only effective treatment for patients with sick sinus syndrome and atrioventricular conduction disorders. In cardiac pacing, the endocardial pacing lead is typically positioned at the right ventricular (RV) apex. At the same time, there is increasing indirect evidence, derived from large pacing mode selection trials and observational studies, that conventional RV apical pa...

We have previously demonstrated the role of univentricular pacing modalities in influencing coronary conduit flow in the immediate post-operative period in the cardiac surgery patient. We wanted to determine the mechanism of this improved coronary conduit and, in addition, to explore the possible benefits with biventricular pacing. Sixteen patients undergoing first time elective coronary artery...

Current pacing practice is undergoing continuous and substantial changes. Initially pacing had an exclusively palliative role, since it was reserved for patients developing complete heart block or severe symptomatic bradycardia. With the appearance of novel pacing indications such as pacing for heart failure and atrial fibrillation, the effect of pacing site on cardiac function has become a cri...