Pacing Features That Mimic Malfunction: A Review of Current Programmable and Automated Device Functions That Cause Confusion in the Clinical Setting

Modern implantable devices capable of pacing are armed with a multitude of programmable and automated features. While some features represent important advances in device safety and performance, many can also mimic device malfunction. This article discusses these features in terms of the confusion they may cause and highlights important clinical clues that aid in their recognition.

[1]  E. Giannitsis,et al.  An Optimized AV Delay Algorithm for Patients with Intermittent Atrioventricular Conduction , 1998, Pacing and clinical electrophysiology : PACE.

[2]  P. Graux,et al.  Mechanisms of Onset of Atrial Fibrillation: , 2003, Pacing and clinical electrophysiology : PACE.

[3]  P. Levine,et al.  Pacing for the Suppression of Paroxysmal Atrial Fibrillation in an 87-year-old Patient , 2003, Indian pacing and electrophysiology journal.

[4]  G. Filardo,et al.  Letter by Hamilton and Filardo regarding article, "Reduced ventricular volumes and improved systolic function with cardiac resynchronization therapy: a randomized trial comparing simultaneous biventricular pacing, sequential biventricular pacing, and left ventricular pacing". , 2008, Circulation.

[5]  C. Bucknall,et al.  Atrial arrhythmia suppression by atrial overdrive pacing: pacemaker Holter assessment. , 2001, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[6]  J. Messenger,et al.  A new pacemaker algorithm for the treatment of atrial fibrillation: results of the Atrial Dynamic Overdrive Pacing Trial (ADOPT). , 2003, Journal of the American College of Cardiology.

[7]  J. Blanc,et al.  Long-term left ventricular pacing: assessment and comparison with biventricular pacing in patients with severe congestive heart failure. , 2001, Journal of the American College of Cardiology.

[8]  J. Day,et al.  Inhibition of Unnecessary RV Pacing with AV Search Hysteresis in ICDs (INTRINSIC RV): , 2005, Pacing and clinical electrophysiology : PACE.

[9]  K. Ellenbogen,et al.  Multicenter, Prospective, Randomized Safety and Efficacy Study of a New Atrial‐Based Managed Ventricular Pacing Mode (MVP) in Dual Chamber ICDs , 2005, Journal of cardiovascular electrophysiology.

[10]  J. Day,et al.  Reduction of Right Ventricular Pacing in Patients with Dual‐Chamber ICDs , 2006, Pacing and clinical electrophysiology : PACE.

[11]  S. Kutalek,et al.  Effect of Different Location of Atrial Lead Position on Nearfield and Farfield Electrograms in Dual Chamber Pacemaker-Defibrillators , 2001, Journal of Interventional Cardiac Electrophysiology.

[12]  T. Kenny.  The Nuts and Bolts of Cardiac Pacing , 2005 .

[13]  N. Freemantle,et al.  The use of atrial overdrive and ventricular rate stabilization pacing algorithms for the prevention and treatment of paroxysmal atrial fibrillation: the Pacemaker Atrial Fibrillation Suppression (PAFS) study. , 2007, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[14]  Paul A. Belk,et al.  Bradycardia pacing-induced short-long-short sequences at the onset of ventricular tachyarrhythmias: a possible mechanism of proarrhythmia? , 2007, Journal of the American College of Cardiology.

[15]  S. Serge Barold,et al.  Pacemaker Repetitive Nonreentrant Ventriculoatrial Synchronous Rhythm. A Review , 2001, Journal of Interventional Cardiac Electrophysiology.

[16]  G. Lamas,et al.  Adverse Effect of Ventricular Pacing on Heart Failure and Atrial Fibrillation Among Patients With Normal Baseline QRS Duration in a Clinical Trial of Pacemaker Therapy for Sinus Node Dysfunction , 2003, Circulation.

[17]  G. Kay,et al.  Reduction of Pacing Output Coupling Capacitance for Sensing the Evoked Response , 2001, Pacing and clinical electrophysiology : PACE.

[18]  E. Foster,et al.  Reduced Ventricular Volumes and Improved Systolic Function With Cardiac Resynchronization Therapy: A Randomized Trial Comparing Simultaneous Biventricular Pacing, Sequential Biventricular Pacing, and Left Ventricular Pacing , 2007, Circulation.

[19]  N. Sulke,et al.  How do atrial pacing algorithms prevent atrial arrhythmias? , 2004, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[20]  M. Gammage.  Rate‐Drop Response Programming , 1997, Pacing and clinical electrophysiology : PACE.

[21]  R. van Mechelen,et al.  Risk of managed ventricular pacing in a patient with heart block. , 2006, Heart rhythm.

[22]  S. Tufik,et al.  Sleep Parameters in Patients Using Pacemakers with Sleep Rate Function on , 2006, Pacing and clinical electrophysiology : PACE.

[23]  Innovative management of atrial fibrillation , 2005 .

[24]  L. Saul.  Cardiac Resynchronization Therapy , 2007, Critical care nursing quarterly.

[25]  J. Lian,et al.  Ventricular rate smoothing for atrial fibrillation: a quantitative comparison study. , 2007, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[26]  Catherine Klersy,et al.  Four-year efficacy of cardiac resynchronization therapy on exercise tolerance and disease progression: the importance of performing atrioventricular junction ablation in patients with atrial fibrillation. , 2006, Journal of the American College of Cardiology.

[27]  A. Moss,et al.  Implantable device therapy. , 2008, Progress in cardiovascular diseases.

[28]  K. Bloch,et al.  Clinical Evaluation of a Pacemaker Algorithm That Adjusts the Pacing Rate During Sleep Using Activity Variance , 2000, Pacing and clinical electrophysiology : PACE.

[29]  M. Wood.  Automated pacemaker function. , 2000, Cardiology clinics.

[30]  G. Crossley,et al.  Automated Left Ventricular Capture Management , 2007, Pacing and clinical electrophysiology : PACE.

[31]  L. Fu,et al.  A Case of a Pseudomalfunction of a DDD Pacemaker , 1991, Pacing and clinical electrophysiology : PACE.

[32]  Reduction of atrial tachyarrhythmia episodes during the overdrive pacing period using the post-mode switch overdrive pacing (PMOP) algorithm. , 2006, Heart rhythm.

[33]  S. Umemura,et al.  Effects of right atrial pacing preference in prevention of paroxysmal atrial fibrillation: Atrial Pacing Preference study (APP study). , 2008, Circulation journal : official journal of the Japanese Circulation Society.