Abstract:Despite its widely-understood physiological mode, artificial atrial pacing can negatively influence heart performance in many respects. We present the case of an 80-year-old woman with the signs and symptoms of diastolic heart failure which had originated, according to the patient herself, due to the implantation of a dual chamber pacemaker inserted for the treatment of sinus node disease. The atrial electrode was located in the right atrial appendage. Electrocardiographic and echocardiographic assessment indi… Show more
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