title: Efficacy of closed-loop stimulation with epicardial leads in an infant with congenital atrioventricular block.
abstract: We present the case of an infant with a congenital atrioventricular block and sinus node dysfunction that was implanted with a pacemaker with physiological closed-loop stimulation (DDD-CLS) pacing mode with two epicardial leads. We have observed the response of DDD-CLS system with respect to conventional rate responsive accelerometer-based mode (DDDR): the atrial pacing percentage and the 24 h rate trend showed higher values during DDD-CLS compared with DDDR. In this patient, rate responsive feature seems preserved in DDD-CLS also using epicardial leads.
authors.affiliation: Paediatric Cardiology and Cardiac Surgery Unit, S. Vincenzo Hospital, Contrada Sirina, 98039 Taormina, Messina, Italy. dipinoa@yahoo.it
authors.forename: Alfredo
authors.initials: A
authors.lastname: Di Pino
authors.forename: Salvatore
authors.initials: S
authors.lastname: Agati
authors.forename: Innocenzo
authors.initials: I
authors.lastname: Bianca
mesh_terms: D054537:Atrioventricular Block / Q000151:congenital* / Q000503:physiopathology / Q000628:therapy*; D002304:Cardiac Pacing, Artificial / Q000379:methods; D004562:Electrocardiography; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D007223:Infant; D010138:Pacemaker, Artificial; D010496:Pericardium / Q000502:physiology*; D016896:Treatment Outcome