Methods for recording intermittent contact signals in demand pacemaker arrhythmias (11 cases).
This report describes some of the various techniques which may be used to demonstrate intermittent and/or incomplete fracture of a pacing lead. Eleven patients treated with an R-wave-inhibited demand pacer showed signs of paroxysmal arrhythmias. Intraoperative recordings of the ventricular electrogram showed the presence of spurious signals mimicking an R-wave. These signals varied from patient to patient but remained morphologically constant when a given technique was used in a given case. The most significant signals were picked up when pacing and recording on the same lead.
D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*