File:E381.jpg

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Summary

Description

This is a tracing from a patient in the pacemaker clinic. The pacemaker was set to VDD mode. There is group beating. The rhythm begins with a ventricular paced beat which occurs at the pacing interval as set by the programmed rate. There is then a retrograde P that is sensed by the atrial channel of the pacemaker and a pacemaker mediated tachycardia begins. The tachycardia stops probably because a retrograde P was blocked. Lack of capture of the atrium either seen with the VDD mode of pacing or with failure of the atrial pacing lead to capture is a mechanism for the initiation of pacemaker mediated tachycardia.

Category

Case reports by Michael Rosengarten

Source

EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill

Date

2012

Author

Michael Rosengarten BEng, MD.McGill

Permission

Creative Commons Attribution Noncommercial Share-Alike License

File history

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Date/TimeThumbnailDimensionsUserComment
current12:51, 21 February 2012Thumbnail for version as of 12:51, 21 February 20123,004 × 906 (535 KB)DarrelC (talk | contribs)

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