1.
Am J Cardiol
; 60(1): 199-200, 1987 Jul 01.
Article
in English
| MEDLINE
| ID: mdl-3604938
2.
Pacing Clin Electrophysiol
; 8(1): 50-1, 1985 Jan.
Article
in English
| MEDLINE
| ID: mdl-2578648
ABSTRACT
Pacemaker follow-up in a 72-year-old woman revealed occasional failure to sense and pace, which was confirmed by Holter monitor. Neither reprogramming the pacemaker sensitivity nor repositioning the lead resolved the problem. A recheck of the Holter recordings revealed pacing and sensing failures were concurrent with "baseline artifact," suggestive of myopotentials. Furthermore, the inappropriate pacing spikes occurred at a rate of 90 pulses per minute (ppm). It was theorized that myopotential sensing was alternately inhibiting the pacer and activating the reversion mode, an asynchronous rate of 90 ppm. Reprogramming the unit to a lower sensitivity restored normal pacer function.