open access

Vol 13, No 1 (2018)
Cardiology Investigation
Published online: 2018-03-23
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Holter ECG in a patient with an implantable device: examples of algorithms to avoid right ventricular pacing

Ewa Szczerba, Andrzej Cacko, Renata Główczyńska
DOI: 10.5603/FC.2018.0016
·
Folia Cardiologica 2018;13(1):86-95.

open access

Vol 13, No 1 (2018)
Cardiology Investigation
Published online: 2018-03-23

Abstract

High percentage of right ventricular pacing is associated with an increased risk of adverse clinical events such as
worsening of heart failure symptoms or atrial fibrillation. Right ventricular pacing should be minimized especially in
patients with heart failure and reduced left ventricular ejection fraction after implantation of one- or two-chamber
cardioverter-defibrillator. Adequate atrioventricular delay programming or appropriate pacing mode programming that
promotes patients own rhythm for example AAI/DDD or DDD/ADI helps in avoiding right ventricular pacing. There are
special algorithms, different between pacemaker-producing companies, basing on the above methods that spare right
ventricular pacing. Some of those algorithms can mimic pacemaker dysfunction and can be a challenge during Holter
electrocardiogram (ECG) interpretations. In this article Holter ECG examples of different algorithms to reduce right ventricle
pacing are presented and discussed.

Abstract

High percentage of right ventricular pacing is associated with an increased risk of adverse clinical events such as
worsening of heart failure symptoms or atrial fibrillation. Right ventricular pacing should be minimized especially in
patients with heart failure and reduced left ventricular ejection fraction after implantation of one- or two-chamber
cardioverter-defibrillator. Adequate atrioventricular delay programming or appropriate pacing mode programming that
promotes patients own rhythm for example AAI/DDD or DDD/ADI helps in avoiding right ventricular pacing. There are
special algorithms, different between pacemaker-producing companies, basing on the above methods that spare right
ventricular pacing. Some of those algorithms can mimic pacemaker dysfunction and can be a challenge during Holter
electrocardiogram (ECG) interpretations. In this article Holter ECG examples of different algorithms to reduce right ventricle
pacing are presented and discussed.

Get Citation

Keywords

Holter ECG, avoiding right ventricular pacing, electrocardiogram

About this article
Title

Holter ECG in a patient with an implantable device: examples of algorithms to avoid right ventricular pacing

Journal

Folia Cardiologica

Issue

Vol 13, No 1 (2018)

Pages

86-95

Published online

2018-03-23

DOI

10.5603/FC.2018.0016

Bibliographic record

Folia Cardiologica 2018;13(1):86-95.

Keywords

Holter ECG
avoiding right ventricular pacing
electrocardiogram

Authors

Ewa Szczerba
Andrzej Cacko
Renata Główczyńska

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