Abstract
s1 May 1968Pacing on Demand in Atrioventricular Conduction Disturbances of the Heart.Robert H. Goetz, M.D.Robert H. Goetz, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-68-5-1155_3 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptContinuous cardiac pacing with totally implanted pulse generators has now become standard therapy for patients with complete heart block and Adams-Stokes syndrome. The pacemaker assumes complete control over ventricular conduction suppressing all spontaneous activity. However, in patients who go in and out of heart block, pacing by means of a continuous fixed rate pacemaker results in a competition between naturally induced stimuli and the pacemaker-produced beats for capture of the ventricular contraction. This results in a bizarre cardiac rhythm, tachycardias, and possibly ventricular fibrillation if a pacemaker beat should fall into the vulnerable period of the naturally induced beat. Recent... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Bronx, New York PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1968Volume 68, Issue 5Page: 1155-1156KeywordsCardiac pacingFallsHeartHeart ratePacemakersTachycardiaVentricular fibrillation Issue Published: 1 May 1968 PDF DownloadLoading ...
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