Inappropriate spikes on telemetry? PART 2

Published on 2017-03-23, by DR Marc Strik, CHU Bordeaux, United States.

Trace category: 
ECG
Device/Field: 
ICD
Company: 
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?

DR Sylvain Ploux

Thu, 23/03/2017 - 18:27

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