Paradoxical under-sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter – What is the mechanism?

Introduction: The causes of atrial undersensing in a dual chamber pacemaker include true undersensing (low amplitude electrogram), functional undersensing (related to the effect of special timing cycles in the presence of an adequate signal) and paradoxical undersensing. This case report describes p...

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Main Authors: Than Htike, Saroj Choudhury, Debabrata Bera
Format: Article
Language:English
Published: Elsevier 2024-11-01
Series:Indian Pacing and Electrophysiology Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629224001128
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author Than Htike
Saroj Choudhury
Debabrata Bera
author_facet Than Htike
Saroj Choudhury
Debabrata Bera
author_sort Than Htike
collection DOAJ
description Introduction: The causes of atrial undersensing in a dual chamber pacemaker include true undersensing (low amplitude electrogram), functional undersensing (related to the effect of special timing cycles in the presence of an adequate signal) and paradoxical undersensing. This case report describes paradoxical atrial undersensing at a higher programmed atrial sensitivity and with the return of normal atrial sensing at a lower programmed sensitivity.
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institution Kabale University
issn 0972-6292
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publishDate 2024-11-01
publisher Elsevier
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series Indian Pacing and Electrophysiology Journal
spelling doaj-art-b2b453a51b814cecadfc936cf90a809b2024-12-05T05:19:25ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922024-11-01246330333Paradoxical under-sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter – What is the mechanism?Than Htike0Saroj Choudhury1Debabrata Bera2Corresponding author.; Department of Cardiology, RTIICS, Kolkata, IndiaDepartment of Cardiology, RTIICS, Kolkata, IndiaDepartment of Cardiology, RTIICS, Kolkata, IndiaIntroduction: The causes of atrial undersensing in a dual chamber pacemaker include true undersensing (low amplitude electrogram), functional undersensing (related to the effect of special timing cycles in the presence of an adequate signal) and paradoxical undersensing. This case report describes paradoxical atrial undersensing at a higher programmed atrial sensitivity and with the return of normal atrial sensing at a lower programmed sensitivity.http://www.sciencedirect.com/science/article/pii/S0972629224001128
spellingShingle Than Htike
Saroj Choudhury
Debabrata Bera
Paradoxical under-sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter – What is the mechanism?
Indian Pacing and Electrophysiology Journal
title Paradoxical under-sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter – What is the mechanism?
title_full Paradoxical under-sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter – What is the mechanism?
title_fullStr Paradoxical under-sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter – What is the mechanism?
title_full_unstemmed Paradoxical under-sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter – What is the mechanism?
title_short Paradoxical under-sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter – What is the mechanism?
title_sort paradoxical under sensing of atrial lead at high sensitivity setting in dual chamber pacemaker during atrial flutter what is the mechanism
url http://www.sciencedirect.com/science/article/pii/S0972629224001128
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AT sarojchoudhury paradoxicalundersensingofatrialleadathighsensitivitysettingindualchamberpacemakerduringatrialflutterwhatisthemechanism
AT debabratabera paradoxicalundersensingofatrialleadathighsensitivitysettingindualchamberpacemakerduringatrialflutterwhatisthemechanism