Railroad Pattern of Atrial Intervals in a Dual-chamber Pacemaker Patient—What Is the Mechanism and How to Manage?

A 55-year-old woman with a dual-chamber pacemaker presented with brief episodes of rapid palpitation. The device recorded several stored atrial high-rate and ventricular high-rate episodes. The atrial intervals showed an interesting railroad track pattern during a non-sustained episode of ventricula...

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Detalles Bibliográficos
Autores principales: Bera, Debabrata, Gupta, Anunay, Kathuria, Sanjeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MediaSphere Medical 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9023026/
https://www.ncbi.nlm.nih.gov/pubmed/35474858
http://dx.doi.org/10.19102/icrm.2022.130406
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author Bera, Debabrata
Gupta, Anunay
Kathuria, Sanjeev
author_facet Bera, Debabrata
Gupta, Anunay
Kathuria, Sanjeev
author_sort Bera, Debabrata
collection PubMed
description A 55-year-old woman with a dual-chamber pacemaker presented with brief episodes of rapid palpitation. The device recorded several stored atrial high-rate and ventricular high-rate episodes. The atrial intervals showed an interesting railroad track pattern during a non-sustained episode of ventricular tachycardia. We discussed the differential diagnosis of railroad track patterns on the atrial channel. In our case, it was related to far-field R-wave oversensing.
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spelling pubmed-90230262022-04-25 Railroad Pattern of Atrial Intervals in a Dual-chamber Pacemaker Patient—What Is the Mechanism and How to Manage? Bera, Debabrata Gupta, Anunay Kathuria, Sanjeev J Innov Card Rhythm Manag Case Report A 55-year-old woman with a dual-chamber pacemaker presented with brief episodes of rapid palpitation. The device recorded several stored atrial high-rate and ventricular high-rate episodes. The atrial intervals showed an interesting railroad track pattern during a non-sustained episode of ventricular tachycardia. We discussed the differential diagnosis of railroad track patterns on the atrial channel. In our case, it was related to far-field R-wave oversensing. MediaSphere Medical 2022-04-15 /pmc/articles/PMC9023026/ /pubmed/35474858 http://dx.doi.org/10.19102/icrm.2022.130406 Text en Copyright: © 2022 Innovations in Cardiac Rhythm Management https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bera, Debabrata
Gupta, Anunay
Kathuria, Sanjeev
Railroad Pattern of Atrial Intervals in a Dual-chamber Pacemaker Patient—What Is the Mechanism and How to Manage?
title Railroad Pattern of Atrial Intervals in a Dual-chamber Pacemaker Patient—What Is the Mechanism and How to Manage?
title_full Railroad Pattern of Atrial Intervals in a Dual-chamber Pacemaker Patient—What Is the Mechanism and How to Manage?
title_fullStr Railroad Pattern of Atrial Intervals in a Dual-chamber Pacemaker Patient—What Is the Mechanism and How to Manage?
title_full_unstemmed Railroad Pattern of Atrial Intervals in a Dual-chamber Pacemaker Patient—What Is the Mechanism and How to Manage?
title_short Railroad Pattern of Atrial Intervals in a Dual-chamber Pacemaker Patient—What Is the Mechanism and How to Manage?
title_sort railroad pattern of atrial intervals in a dual-chamber pacemaker patient—what is the mechanism and how to manage?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9023026/
https://www.ncbi.nlm.nih.gov/pubmed/35474858
http://dx.doi.org/10.19102/icrm.2022.130406
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AT kathuriasanjeev railroadpatternofatrialintervalsinadualchamberpacemakerpatientwhatisthemechanismandhowtomanage

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