Linked Life Data

11139918

Source:http://linkedlifedata.com/resource/pubmed/id/11139918

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11 Pt 2
pubmed:dateCreated
2001-1-3
pubmed:abstractText
It is desirable to maintain normal, conducted ventricular activation in patients with dual-chamber pacemakers and preserved atrioventricular (AV) conduction. The shortest AV delay resulting in consistent ventricular inhibition (avoiding ventricular pseudofusion) was determined by a conventional incremental (inside-out) technique vs the alternate decremental (outside-in) technique in 20 such patients. Determinations were made in VDD mode in 20 patients and DDD mode (approximately 10 beats/min faster than the intrinsic rate) in 19. In VDD mode, the shortest AV delay avoiding ventricular pseudofusion was never found during inside-out testing. It was identical with both methods in 10 patients (50%), and shorter by 10-80 ms (mean 20 +/- 20 ms) with the outside-in method in the remaining 10 (P = 0.004). In DDD mode, the shortest AV delay resulting in consistent ventricular inhibition was found only once during inside-out testing. It was the same with both methods in 13 patients (68%), and shorter by 10-20 ms (mean 14 +/- 5 ms) with the outside-in method in the remaining 5 (26%, P = 0.18; Fisher's exact test). The shortest sensed AV delay preventing ventricular pseudofusion is most likely to be found with a decremental method (outside-in). In rare patients, it identifies AV delays resulting in inhibition, while ventricular pacing persists at longer programmable AV delays with the conventional inside-out approach.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0147-8389
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1758-61
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
2000
pubmed:articleTitle
Which is the optimal testing method for identifying an AV delay that allows intrinsic conduction?
pubmed:affiliation
Section of Cardiology, Rush-Presbyterian-St. Luke's Medical Center and Rush Medical College, Chicago, Illinois, USA.
pubmed:publicationType
Journal Article, Clinical Trial