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Prevention of Intra‐Atrial Reentry by Chronic Atrial Pacing
Author(s) -
LECLERCQ J.F.,
ROSENGARTEN M.D.,
DELCOURT Ph.,
ATTUEL P.,
COUMEL Ph.,
SLAMA R.
Publication year - 1980
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1980.tb04325.x
Subject(s) - medicine , reentry , sick sinus syndrome , cardiology , atrial tachycardia , tachycardia , sinus (botany) , anesthesia , atrial fibrillation , catheter ablation , botany , biology , genus
The authors describe a cose of so‐called “intra‐atrial reentry,” associoted with sinus node dysfunction. The spontaneous initiation of the tachycardia was always preceded by a sinus pause, and external atrial pacing prevented the appearance of tachycardia. Thus an atrial pacemaker was implanted, and after several months, the atriaJ dysrhythmias disappeared completely, despite interruption of the antiarrhythmic drugs. When a pacemaker dysfunction occurred, the sinus node dysfunction and the tachycardia reappeared. This is analogous with the “incessant” tachycardias seen in the WPW syndrome, and must be differentiated from the usual forms of the sick sinus syndrome which require both a pacemaker and antiarrhythmic drugs.