Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature

A 62-year-old pacemaker-dependent patient presented to our department with a sudden onset of reduced physical capacity. While initial physical and pacemaker evaluations remained without specific findings, Holter-ECG monitoring revealed an abnormal rate response with unusual pauses during physical ex...

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Autores principales: Topf, Albert, Motloch, Lukas J., Kraus, Johannes, Danmayr, Franz, Mirna, Moritz, Schernthaner, Christiane, Hoppe, Uta C., Strohmer, Bernhard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Reviews
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508958/
https://www.ncbi.nlm.nih.gov/pubmed/31974858
http://dx.doi.org/10.1007/s10840-019-00698-6
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author Topf, Albert
Motloch, Lukas J.
Kraus, Johannes
Danmayr, Franz
Mirna, Moritz
Schernthaner, Christiane
Hoppe, Uta C.
Strohmer, Bernhard
author_facet Topf, Albert
Motloch, Lukas J.
Kraus, Johannes
Danmayr, Franz
Mirna, Moritz
Schernthaner, Christiane
Hoppe, Uta C.
Strohmer, Bernhard
author_sort Topf, Albert
collection PubMed
description A 62-year-old pacemaker-dependent patient presented to our department with a sudden onset of reduced physical capacity. While initial physical and pacemaker evaluations remained without specific findings, Holter-ECG monitoring revealed an abnormal rate response with unusual pauses during physical exercise. Consequently, closer evaluation of the pacemaker system revealed intermittent, exercise-related T-wave oversensing (TWOS). While TWOS remains a significant burden in ICD-patients, it might be an underestimated but clinically significant event in pacemaker patients. Further studies should evaluate the impact of TWOS in this patient population.
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spelling pubmed-75089582020-10-05 Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature Topf, Albert Motloch, Lukas J. Kraus, Johannes Danmayr, Franz Mirna, Moritz Schernthaner, Christiane Hoppe, Uta C. Strohmer, Bernhard J Interv Card Electrophysiol Reviews A 62-year-old pacemaker-dependent patient presented to our department with a sudden onset of reduced physical capacity. While initial physical and pacemaker evaluations remained without specific findings, Holter-ECG monitoring revealed an abnormal rate response with unusual pauses during physical exercise. Consequently, closer evaluation of the pacemaker system revealed intermittent, exercise-related T-wave oversensing (TWOS). While TWOS remains a significant burden in ICD-patients, it might be an underestimated but clinically significant event in pacemaker patients. Further studies should evaluate the impact of TWOS in this patient population. Springer US 2020-01-23 2020 /pmc/articles/PMC7508958/ /pubmed/31974858 http://dx.doi.org/10.1007/s10840-019-00698-6 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Reviews
Topf, Albert
Motloch, Lukas J.
Kraus, Johannes
Danmayr, Franz
Mirna, Moritz
Schernthaner, Christiane
Hoppe, Uta C.
Strohmer, Bernhard
Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature
title Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature
title_full Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature
title_fullStr Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature
title_full_unstemmed Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature
title_short Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature
title_sort exercise-related t-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7508958/
https://www.ncbi.nlm.nih.gov/pubmed/31974858
http://dx.doi.org/10.1007/s10840-019-00698-6
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