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Upper Limit Ventricular Stimulation in Respiratory Rate Responsive Pacing due to Electrocautery
Author(s) -
HEMEL NORBERT M.,
HAMERLIJNCK RUBEN P.H.M.,
PRONK KEES J.,
VEEN ED P.
Publication year - 1989
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.1540-8159.1989.tb01855.x
Subject(s) - medicine , ventilation (architecture) , anesthesia , heart rate , tachycardia , stimulation , cardiology , anticipation (artificial intelligence) , mechanical engineering , artificial intelligence , computer science , blood pressure , engineering
VAN HEMEL, N.M., et al .: Upper Limit Ventricular Stimulation in Respiratory Rate Responsive Pacing due to Electrocautery Transient programmed upper limit stimulation (150 bpm) was observed during repetitively utilized electrocautery in the beginning of an open‐heart surgical procedure in a patient with a minute ventilation rate responsive ventricuiar pacemaker. This tachycardia caused severe hemodynamic deterioration, and was also initiated by internal heart massage and manual ventilation. Considering the recommendations of the manufacturer, this series of serious events could have been prevented, when reprogramming to the inhibited mode had been executed in anticipation of the operation.