Journal of the American College of Cardiology. 4.). Pacemaker Failure American Association of Physicists in Medicine. Runaway pacemaker is a rare, life-threatening phenomenon caused by generator dysfunction, usually related to pacemaker battery depletion. 2014 Dec 18 [PubMed PMID: 25512296], Nguyn UC,Crijns HJGM, Undersensing, asynchronous pacing, and ventricular fibrillation. The Basics of Paced Rhythms 2005 Apr; [PubMed PMID: 15826268], Indik JH,Gimbel JR,Abe H,Alkmim-Teixeira R,Birgersdotter-Green U,Clarke GD,Dickfeld TL,Froelich JW,Grant J,Hayes DL,Heidbuchel H,Idriss SF,Kanal E,Lampert R,Machado CE,Mandrola JM,Nazarian S,Patton KK,Rozner MA,Russo RJ,Shen WK,Shinbane JS,Teo WS,Uribe W,Verma A,Wilkoff BL,Woodard PK, 2017 HRS expert consensus statement on magnetic resonance imaging and radiation exposure in patients with cardiovascular implantable electronic devices. The 12-lead ECG shows an underlying sinus rhythm with complete heart block and a fascicular escape rhythm (right bundle branch block and left anterior fascicle block patterns at a rate of about 29 bpm). Increase sensitivity setting. 1993 Oct 15; [PubMed PMID: 8379604], Atlee JL,Bernstein AD, Cardiac rhythm management devices (part II): perioperative management. Since then, indications for pacemakers have grown remarkably and now include atrioventricular (AV) node and sinus node dysfunction, hypersensitive carotid sinus syndrome and neurally-mediated syncope (vasovagal syncope), prevention of tachycardia with long QT syndrome, hypertrophic cardiomyopathy, certain cases of congestive heart failure, and prevention of atrial fibrillation. On the electrocardiogram or rhythm strip, a pacing spike can be seen with no P or QRS complex subsequently following the pacing spike.6 An example is shown in Figure 1, where the atrial pacing stimuli do not capture the atrial tissue and, therefore, there is no atrial depolarization with P waves following the pacing stimuli. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.
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