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Schrittmacher- und ICD-Elektrokardiogramme

  • Enes Elvin GulEmail author
  • Adrian Baranchuk
  • Ben Brüggemann
  • Thomas S. Faber
  • Nils Gosau
  • Sohaib Haseeb
  • Carsten W. IsraelEmail author
  • Mohammad Melhem
  • Dejan MijicEmail author
  • Johannes SteinfurtEmail author
  • Roland Richard TilzEmail author
  • Julia Vogler
  • Stephan Willems
Schwerpunkt
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Alternating QRS morphologies: what is the diagnosis?

Enes Elvin Gul, Sohaib Haseeb, Mohammad Melhem, Adrian Baranchuk

Case presentation

A 73-year-old female with a history of complete heart block, coronary artery disease, and preserved left ventricular systolic function (ejection fraction 48 %) had had a dual-chamber permanent pacemaker (Sensia SEDR01, Medtronic, MN, USA) implanted 4 years previously. The patient presented to the cardiac rhythm and device clinic for regular follow-up.

Question.

What is the diagnosis of the electrocardiogram (ECG) (Fig.  1)?

Pacemaker and ICD electrocardiograms

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

E.E. Gul, A. Baranchuk, B. Brüggemann, T.S. Faber, N. Gosau, S. Haseeb, C.W. Israel, M. Melhem, D. Mijic, J. Steinfurt, R.R. Tilz, J. Vogler und S. Willems geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Literatur

Verwendete Literatur

  1. 1.
    Barold SS, Levine PA (2001) Pacemaker repetitive nonreentrant ventriculoatrial synchronous rhythm. A review. J Interv Card Electrophysiol 5:45–58CrossRefGoogle Scholar
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    Beaufort-Krol GC, Bink-Boelkens M, Nagelkerke D, Van Gelder BM (2001) Cross-stimulation during lead impedance monitoring. Pacing Clin Electrophysiol 24:1696–1698CrossRefGoogle Scholar
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    Johri AM, Baranchuk A, Simpson CS et al (2008) Is this pacemaker working properly? Prolongation of the atrial escape interval following activation of the ventricular safety pacing algorithm in a dual-chamber implantable cardioverter defibrillator with atrial-based, lower rate timing. Can J Cardiol 24:e43–e44CrossRefGoogle Scholar
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    Kaufman ES, Israel CW, Nair GM, Armaganijan L, Divakaramenon S, Mairesse GH, Brandes A, Crystal E, Costantini O, Sandhu RK, Parkash R, Connolly SJ, Hohnloser SH, Healey JS (2012) Positive predictive value of device-detected atrial high-rate episodes at different rates and durations: an analysis from ASSERT. Heart Rhythm 9:1241–1246CrossRefGoogle Scholar
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    Vijayaraman P, Mk C, Dandamudi G et al (2018) His Bundle Pacing. J Am Coll Cardiol 72:927–947CrossRefGoogle Scholar

Weiterführende Literatur

  1. 8.
    Love CJ (2011) Pacemaker troubleshooting and follow-up. In: Ellenbogen KA (Hrsg) Clinical cardiac pacing, Defibrillation, and Resynchronization therapy, 4. Aufl. Elsevier, PhiladelphiaGoogle Scholar
  2. 9.
    Watanabe H, Miyamura H, Hayashi J et al (1997) DDD pacemaker implantation in the patient underwent Maze procedure. Kyobu Geka 50:235–238PubMedGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Cardiac ElectrophysiologyMadinah Cardiac CentreMadinahSaudi-Arabien
  2. 2.Division of Cardiology, Kingston Health Sciences CentreQueen’s UniversityKingstonKanada
  3. 3.Medizinische Klinik II/Kardiologie, Angiologie und IntensivmedizinUniversitätsklinikum Schleswig-Holstein, Campus LübeckLübeckDeutschland
  4. 4.Department of Cardiology and Angiology IHeart Center Freiburg UniversityFreiburgDeutschland
  5. 5.Klinik für Innere Medizin – Kardiologie, Diabetologie & NephrologieEvangelisches Klinikum BethelBielefeldDeutschland
  6. 6.Gemeinschaftspraxis für Kardiologie und KardiochirurgieWuppertalDeutschland
  7. 7.Universitäres Herzzentrum Hamburg (UHZ), Klinik für Kardiologie mit Schwerpunkt ElektrophysiologieUniversitätsklinikum Hamburg EppendorfHamburgDeutschland

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