TY - JOUR
T1 - Advanced algorithms can lead to electrocardiographic misinterpretations
AU - D'Ascia, Salvatore Luca
AU - Santulli, Gaetano
AU - Liguori, Vincenzo
AU - Marino, Vittoria
AU - Arturo, Claudia
AU - Chiariello, Massimo
AU - D'Ascia, Cristoforo
PY - 2010/5/28
Y1 - 2010/5/28
N2 - We observed a patient with syncope, who implanted a pacemaker with advanced algorithms such as "atrial-tachy response" and "dynamic atrio-ventricular delay". After one year, conventional ECG Holter showed pacemaker malfunction, wrongly attributed to exposure to electromagnetic field. In fact, telemetry revealed an inappropriate programming and solved our case. Holter monitoring is commonly performed in the evaluation of pacemaker malfunction, albeit it remains a quite shallow diagnostic method especially to detect electromagnetic interferences. New algorithms seem important, but it is reasonable to obtain more suitable analytical tools, too.
AB - We observed a patient with syncope, who implanted a pacemaker with advanced algorithms such as "atrial-tachy response" and "dynamic atrio-ventricular delay". After one year, conventional ECG Holter showed pacemaker malfunction, wrongly attributed to exposure to electromagnetic field. In fact, telemetry revealed an inappropriate programming and solved our case. Holter monitoring is commonly performed in the evaluation of pacemaker malfunction, albeit it remains a quite shallow diagnostic method especially to detect electromagnetic interferences. New algorithms seem important, but it is reasonable to obtain more suitable analytical tools, too.
KW - Atrial-tachy response
KW - Atrio-ventricular delay
KW - Electromagnetism
KW - Holter monitoring
KW - Pacemaker malfunction
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U2 - 10.1016/j.ijcard.2008.11.144
DO - 10.1016/j.ijcard.2008.11.144
M3 - Article
C2 - 19136171
AN - SCOPUS:77952242211
SN - 0167-5273
VL - 141
SP - e34-e36
JO - International Journal of Cardiology
JF - International Journal of Cardiology
IS - 2
ER -