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Efficacy of closed-loop stimulation with epicardial leads in an infant with congenital atrioventricular block
Author(s) -
Alfredo Di Pino,
Salvatore Agati,
Innocenzo Bianca
Publication year - 2008
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eum299
Subject(s) - medicine , atrioventricular block , cls upper limits , cardiology , sick sinus syndrome , heart block , cardiac pacing , heart rate , stimulation , electrocardiography , blood pressure , optometry
We present the case of an infant with a congenital atrioventricular block and sinus node dysfunction that was implanted with a pacemaker with physiological closed-loop stimulation (DDD-CLS) pacing mode with two epicardial leads. We have observed the response of DDD-CLS system with respect to conventional rate responsive accelerometer-based mode (DDDR): the atrial pacing percentage and the 24 h rate trend showed higher values during DDD-CLS compared with DDDR. In this patient, rate responsive feature seems preserved in DDD-CLS also using epicardial leads.

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