Efficacy of closed-loop stimulation with epicardial leads in an infant with congenital atrioventricular block

Alfredo Di Pino; Salvatore Agati; Innocenzo Bianca

doi:10.1093/europace/eum299

Efficacy of closed-loop stimulation with epicardial leads in an infant with congenital atrioventricular block

Europace. 2008 Mar;10(3):334-5. doi: 10.1093/europace/eum299. Epub 2008 Jan 20.

Authors

Alfredo Di Pino¹, Salvatore Agati, Innocenzo Bianca

Affiliation

¹ Paediatric Cardiology and Cardiac Surgery Unit, S. Vincenzo Hospital, Contrada Sirina, 98039 Taormina, Messina, Italy. [email protected]

PMID: 18204100
DOI: 10.1093/europace/eum299

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.

Publication types

Case Reports

MeSH terms

Atrioventricular Block / congenital*
Atrioventricular Block / physiopathology
Atrioventricular Block / therapy*
Cardiac Pacing, Artificial / methods
Electrocardiography
Heart Rate / physiology
Humans
Infant
Pacemaker, Artificial*
Pericardium / physiology*
Treatment Outcome