atrial and ventricular oversensing

Tracing
N° 35
Manufacturer Abbott Device PM Field Management of atrial arrhythmias
Patient

61-year-old man implanted with an Assurity MRITM pacemaker for paroxysmal atrioventricular block; recording of several episodes of HVR in the device memory.

Graph and trace

Atrial sensing and ventricular pacing; oversensing of a very fast, disorganized, non-physiological signal at the level of the ventricular lead inhibiting ventricular pacing; absence of ventricular pause since the patient is not pacemaker-dependent (intrinsic QRS complexes remain viewable).