• Cardiology in the young · Oct 2013

    Case Reports

    R-wave synchronised atrial pacing in post-operative junctional ectopic tachycardia using a transoesophageal pacemaker.

    • Andreas Entenmann, Katja Reineker, and Hans-Heiner Kramer.
    • Department of Congenital Heart Disease and Pediatric Cardiology, Schleswig-Holstein University Hospital, Campus Kiel, Kiel, Germany. entenmann@pedcard.uni-kiel.de
    • Cardiol Young. 2013 Oct 1;23(5):763-5.

    AbstractWe report the first case of R-wave synchronised atrial pacing using a transoesophageal pacemaker. A 3-month-old baby developed a junctional ectopic tachycardia after surgical closure of a ventricular septal defect. R-wave synchronised atrial pacing with an external pacemaker was not possible owing to dislocation of the atrial epimyocardial pacing wires. Therefore, a temporary oesophageal pacemaker was connected in series to the external pacemaker to allow transoesophageal atrial pacing triggered by the preceding ventricular actions.

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