Rate smoothing induced ventricular arrhythmia and syncope

A new device-induced proarrhythmia

Siva Mulpuru, Hiroshi Fujita, Cesare Saponieri

Research output: Contribution to journalArticle

Abstract

A 74-year-old male presented to our emergency room with history of sudden onset palpitations associated with syncope. He had a single-chamber implantable cardioverter defibrillator implanted for secondary prevention of sudden cardiac death due to ischaemic cardiomyopathy. Interrogation of the device revealed episodes of non-sustained ventricular tachycardia (NSVT) at 220 ms. Post-tachycardia, another episode of NSVT with longer duration, was induced by rate smoothing pacing algorithm following premature ventricular beats. We describe this unique form of device-related proarrhythmia causing syncope.

Original languageEnglish (US)
Pages (from-to)136-137
Number of pages2
JournalEuropace
Volume12
Issue number1
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

Fingerprint

Syncope
Ventricular Tachycardia
Cardiac Arrhythmias
Equipment and Supplies
Ventricular Premature Complexes
Implantable Defibrillators
Sudden Cardiac Death
Secondary Prevention
Cardiomyopathies
Tachycardia
Hospital Emergency Service

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Rate smoothing induced ventricular arrhythmia and syncope : A new device-induced proarrhythmia. / Mulpuru, Siva; Fujita, Hiroshi; Saponieri, Cesare.

In: Europace, Vol. 12, No. 1, 01.01.2010, p. 136-137.

Research output: Contribution to journalArticle

Mulpuru, Siva ; Fujita, Hiroshi ; Saponieri, Cesare. / Rate smoothing induced ventricular arrhythmia and syncope : A new device-induced proarrhythmia. In: Europace. 2010 ; Vol. 12, No. 1. pp. 136-137.
@article{eea12a41de6d41f3b3bff5c03b7b3dd5,
title = "Rate smoothing induced ventricular arrhythmia and syncope: A new device-induced proarrhythmia",
abstract = "A 74-year-old male presented to our emergency room with history of sudden onset palpitations associated with syncope. He had a single-chamber implantable cardioverter defibrillator implanted for secondary prevention of sudden cardiac death due to ischaemic cardiomyopathy. Interrogation of the device revealed episodes of non-sustained ventricular tachycardia (NSVT) at 220 ms. Post-tachycardia, another episode of NSVT with longer duration, was induced by rate smoothing pacing algorithm following premature ventricular beats. We describe this unique form of device-related proarrhythmia causing syncope.",
author = "Siva Mulpuru and Hiroshi Fujita and Cesare Saponieri",
year = "2010",
month = "1",
day = "1",
doi = "10.1093/europace/eup356",
language = "English (US)",
volume = "12",
pages = "136--137",
journal = "Europace",
issn = "1099-5129",
publisher = "Oxford University Press",
number = "1",

}

TY - JOUR

T1 - Rate smoothing induced ventricular arrhythmia and syncope

T2 - A new device-induced proarrhythmia

AU - Mulpuru, Siva

AU - Fujita, Hiroshi

AU - Saponieri, Cesare

PY - 2010/1/1

Y1 - 2010/1/1

N2 - A 74-year-old male presented to our emergency room with history of sudden onset palpitations associated with syncope. He had a single-chamber implantable cardioverter defibrillator implanted for secondary prevention of sudden cardiac death due to ischaemic cardiomyopathy. Interrogation of the device revealed episodes of non-sustained ventricular tachycardia (NSVT) at 220 ms. Post-tachycardia, another episode of NSVT with longer duration, was induced by rate smoothing pacing algorithm following premature ventricular beats. We describe this unique form of device-related proarrhythmia causing syncope.

AB - A 74-year-old male presented to our emergency room with history of sudden onset palpitations associated with syncope. He had a single-chamber implantable cardioverter defibrillator implanted for secondary prevention of sudden cardiac death due to ischaemic cardiomyopathy. Interrogation of the device revealed episodes of non-sustained ventricular tachycardia (NSVT) at 220 ms. Post-tachycardia, another episode of NSVT with longer duration, was induced by rate smoothing pacing algorithm following premature ventricular beats. We describe this unique form of device-related proarrhythmia causing syncope.

UR - http://www.scopus.com/inward/record.url?scp=73849137767&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=73849137767&partnerID=8YFLogxK

U2 - 10.1093/europace/eup356

DO - 10.1093/europace/eup356

M3 - Article

VL - 12

SP - 136

EP - 137

JO - Europace

JF - Europace

SN - 1099-5129

IS - 1

ER -