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Saturday 17 December 2011

Pacemaker syndrome

- due to AV dyssynchrony
- presents with symptoms of reduced cardiac output (dizziness, syncope, dyspnea, fatigue, weakness, palpitation)
- classically occurs in conjuction with single chamber ventricular pacing
- signs: elevated JVP, cannon A wave, pulmonary edema
- ECG: retrograde P wave
- for ventricularly paced patients, addition of an atrial lead and institution of AV synchronous pacing usually resolves symptoms

1 comment:

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