SafeR and escape junctional rhythm: A singular trigger for pacemaker-mediated tachycardia

Pasquale Crea; Teresa Crea; Giuseppe Picciolo; Francesco Luzza

doi:10.1016/j.jelectrocard.2017.02.004

SafeR and escape junctional rhythm: A singular trigger for pacemaker-mediated tachycardia

J Electrocardiol. 2017 Jul-Aug;50(4):504-506. doi: 10.1016/j.jelectrocard.2017.02.004. Epub 2017 Feb 20.

Authors

Pasquale Crea¹, Teresa Crea², Giuseppe Picciolo³, Francesco Luzza³

Affiliations

¹ Cardiology Unit, Department of Clinical and Experimental Medicine, University of Messina. Electronic address: [email protected].
² Internal Medicine Unit, Department of Clinical and Experimental Medicine, University of Messina.
³ Cardiology Unit, Department of Clinical and Experimental Medicine, University of Messina.

PMID: 28262258
DOI: 10.1016/j.jelectrocard.2017.02.004

Abstract

A 70-year-old man, who previously received a dual chamber pacemaker for paroxysmal AV block (Sorin Symphony DR 2550), was noted on telemetry to have multiple episodes of rapid ventricular pacing at approximately 120bpm. Evaluation of the telemetry strips revealed that all of the rapid ventricular pacing episodes were initiated by brief runs of escape junctional rhythm. Programmed bradycardia parameters were AAI SafeR with lower rate limit of 50bpm.

Keywords: Escape junctional rhythm; Pacemaker-mediated tachycardia; SafeR algorithm.

Publication types

Case Reports

MeSH terms

Aged
Algorithms
Atrioventricular Block / physiopathology*
Atrioventricular Block / therapy*
Bradycardia / physiopathology
Cardiac Pacing, Artificial / methods*
Electrocardiography
Humans
Male
Pacemaker, Artificial*