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Inappropriate spikes on telemetry? PART 2

Submitted by marc.strik on
Type traces
ECG
Device
ICD
Manufacturer
Medtronic

Same patiënt as previous case, a 81-year old patient with a sick sinus syndrome and a dual chamber Medtronic pacemaker, admitted due to chest pains.

Last night he showed the following telemetry strip:

What are your ideas?

Trace PDF

Submitted by sylvain.ploux on Thu 23/03/2017 - 18:27

Permalink

Marc,

Please save this guy because he is a very useful source of EGM troubleshooting.

I suspect this has something to do with an automatic Atrial Capture Management algorithm (2 atrial spikes at 70ms interval).

Sylvain