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Dual Demand Pacing Using Retriggerable Refractory Periods for Ventricular Rate Control During Paroxysmal Supraventricular Tachyarrhythmias in Patients with Dual Chamber Pacemakers
Author(s) -
JAYAPRAKASH SHENTHAR,
SPARKS PAUL B.,
KALMAN JONATHAN M.,
MOND HARRY G.
Publication year - 2000
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.1540-8159.2000.tb00917.x
Subject(s) - medicine , cardiology , paroxysmal supraventricular tachycardia , ventricular pacing , dual (grammatical number) , refractory (planetary science) , single chamber , cardiac pacing , anesthesia , tachycardia , heart failure , physics , astrobiology , art , literature
The use of dual chamber pacing in patients with atrioventricular block and paroxysmal Supraventricular tachyarrhythmias may present a clinical dilemma because of the rapid and erratic triggering of ventricular pacing. To avoid this, a variety of pacing methods have now been described, including the use of retriggerable atrial refractory periods or dual demand pacing. This review details the use, advantages, and limitations of this poorly understood algorithm referred to as “pseudo‐mode switching.”

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