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1 Departments of (Cardiac) Surgery and Pathology, respectively, Mount Zion Hospital and Medical Center
The mechanical contractile rate of the heart can be slowed by appropriately delayed single electrical stimuli applied to the ventricles. Slowing of the heart by this means leads to statistically significant increases in left ventricular pressure and ascending aortic blood flow. The technic of coupled pacing incorporates the inherent advantage of auricular contraction, not obtainable when the heart is slowed by paired pulses. Coupled pacing may be applicable and beneficial in certain patients where a slower mechanical rate is desired.
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