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Pro-arrhythmia in atrial fibrillation suppression pacing algorithms
Europace, 10/19/09

Ghanbari H et al. – Atrial overdrive pacing algorithms have been partially effective in controlling atrial fibrillation (AF). A 76–year–old man with history of a cardiomyopathy and paroxysmal AF underwent implant of a dual–chamber ICD. After enabling preferential pacing (PP) algorithms, marked control of his AF was demonstrated, but with inappropriate ICD shocks secondary to a typical AV nodal re–entrant tachycardia. After successful slow pathway modification, no further episodes were documented with suppression of his AF burden with PP algorithms enabled.

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