[Biatrial stimulation in therapy of paroxysmal atrial tachycardia: a case report].
A biatrial pacemaker was inserted in a 68-year-old female with paroxysmal atrial fibrillation and atrial flutter refractory to antiarrhythmic drugs based on a sick-sinus-syndrome and concomitant interatrial conduction delay. One electrode positioned in the right atrium and another electrode located in the coronary sinus were connected to a dual-chamber pacemaker. The electrode in the right atrium was connected to the atrial channel, the electrode in the coronary sinus to the ventricular channel. The pacemaker was programmed in DDD-mode with an AV-delay of 30 ms. Under a chronic antiarrhythmic medication with 160 mg sotalol per day there was no evidence for recurrent episodes of atrial tachyarrhythmias in the patient's history, 24-h-Holter-ECG, nor in the memory of the pacemaker during a follow-up of 8 months.
Heisel
A
A
Medizinische Universitätsklinik, Innere Medizin III, Universitätskliniken des Saarlandes, Homburg/Saar.
Jung
J
J
Neuzner
J
J
Schieffer
H
H
Fröhlig
G
G
D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage; D001281:Atrial Fibrillation / Q000503:physiopathology / Q000628:therapy*; D001282:Atrial Flutter / Q000503:physiopathology / Q000628:therapy*; D016275:Atrial Function; D003131:Combined Modality Therapy; D015716:Electrocardiography, Ambulatory / Q000187:drug effects; D004567:Electrodes, Implanted; D004867:Equipment Design; D005260:Female; D006801:Humans; D010138:Pacemaker, Artificial; D012804:Sick Sinus Syndrome / Q000503:physiopathology / Q000628:therapy; D013015:Sotalol / Q000008:administration & dosage; D013614:Tachycardia, Paroxysmal / Q000503:physiopathology / Q000628:therapy*
D000889:Anti-Arrhythmia Agents; D013015:Sotalol