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Chest, Vol 70, 665-667, Copyright © 1976 by American College of Chest Physicians

ARTICLES

Tag-along pacemaker

JA Tobias and GR Daicoff

In a R-wave-inhibited pulse generator, an increased interval between pacing artifacts giving an apparently slow rate was not indicative of impending battery failure in two patients. The pacing artifacts appeared as a tag-along phenomenon following a slow idioventricular rhythm as the result of an exit block due to (1) hyperkalemia and (2) perielectrode fibrosis. Simple tests demonstrated a normally functioning R-wave sensing circuit and pacemaker.




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Copyright © 1976 by the American College of Chest Physicians.