title: Shortening of the sensed AV delay of a dual chamber pacemaker during normal sinus rhythm.
abstract: We studied the Medtronic Thera and Kappa 400 dual chamber pacemakers to determine the causes and mechanism of shortening of the sensed AV delay during normal sinus rhythm. When the sensed AV delay shortens to less than its programmed value, it lengthens gradually and returns to its programmed duration after a number of pacing cycles. This behavior is linked to the relatively slow automatic mode switching algorithm (AMS) and was observed when a transient increase in the sensed atrial rate failed to reach the point where AMS was activated and also upon exit from the AMS mode.
authors.affiliation: Tampa General Hospital, 5806 Mariner's Watch Drive, Tampa, FL 33615, USA. ssbarold@aol.com
authors.forename: S Serge
authors.initials: SS
authors.lastname: Barold
authors.forename: Chu-Pak
authors.initials: CP
authors.lastname: Lau
authors.forename: Hung-Fat
authors.initials: HF
authors.lastname: Tse
authors.forename: Michael
authors.initials: M
authors.lastname: Hess
mesh_terms: D002304:Cardiac Pacing, Artificial; D004562:Electrocardiography; D006801:Humans; D010138:Pacemaker, Artificial