title: R-wave synchronised atrial pacing in post-operative junctional ectopic tachycardia using a transoesophageal pacemaker.
abstract: We report the first case of R-wave synchronised atrial pacing using a transoesophageal pacemaker. A 3-month-old baby developed a junctional ectopic tachycardia after surgical closure of a ventricular septal defect. R-wave synchronised atrial pacing with an external pacemaker was not possible owing to dislocation of the atrial epimyocardial pacing wires. Therefore, a temporary oesophageal pacemaker was connected in series to the external pacemaker to allow transoesophageal atrial pacing triggered by the preceding ventricular actions.
authors.affiliation: Department of Congenital Heart Disease and Pediatric Cardiology, Schleswig-Holstein University Hospital, Campus Kiel, Kiel, Germany. entenmann@pedcard.uni-kiel.de
authors.forename: Andreas
authors.initials: A
authors.lastname: Entenmann
authors.forename: Katja
authors.initials: K
authors.lastname: Reineker
authors.forename: Hans-Heiner
authors.initials: HH
authors.lastname: Kramer
mesh_terms: D002304:Cardiac Pacing, Artificial / Q000379:methods*; D004562:Electrocardiography; D005260:Female; D006325:Heart Atria; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007223:Infant; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000628:therapy*; D013613:Tachycardia, Ectopic Junctional / Q000628:therapy*