Premature ventricular contraction response-induced new-onset atrial fibrillation

Friedman, Daniel J.; Chasten, Tiffany; Anderson, Kenya; Mullenix, Jessica; Rider, Kimberly; Sun, Albert Y.

doi:10.1016/j.hrcr.2018.11.012

Cited by 4 publications

(7 citation statements)

References 1 publication

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“…In our cohort of over 300 remotely monitored ICD and CRT‐D patients, the A pace on PVC (nominally programmed to Off) was used in half of the patients. Our findings are in line with a previous case report by Friedman et al 6 . who described a patient with ischemic cardiomyopathy who had numerous AHRE following PVCs while A pace on PVC was used.…”

Section: Discussionsupporting

confidence: 93%

“…Thus, there are numerous patients who may be affected by this programming. Although PVC response is nominally programmed Off, in our representative cohort this A‐Pace on PVC was used in half of the patients and the previous case reports from US, 5,6 Canada 12 , China 7 , and Japan 13 indicate that this programming has been used frequently around the world. Nevertheless, the clinical significance of our findings needs further evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…Although this algorithm is intended to be antiarrhythmic, some case reports indicate that it may provoke endless loop tachycardia 6 and atrial fibrillation 7,8 …”

Section: Introductionmentioning

confidence: 99%

“…Although this algorithm is intended to be antiarrhythmic, some case reports indicate that it may provoke endless loop tachycardia 6 and atrial fibrillation. 7,8 We recently encountered a young patient presenting with multiple atrial high-rate episodes (AHRE) trigged by the A pace on PVC.…”

Section: Introductionmentioning

confidence: 99%

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Novel findings of an old algorithm: PVC response “Atrial Pace’’ initiates atrial arrhythmias in Abbott ICD and CRT‐D devices

Sane

Marjamaa

Kuusisto

et al. 2022

Pacing Clinical Electrophis

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Background Many algorithms have been developed to ensure the safety and accuracy of cardiac implantable electric devices (CIED). A specific algorithm designed to prevent pacemaker induced tachycardia (PMT) after a premature ventricular complex (PVC response) is available in all Abbott (former St. Jude Medical) CIED. However, a few case reports suggest that this algorithm may be proarrhythmic when programmed to Atrial Pace (A‐Pace on PVC). Methods We analyzed the data of all (n = 333) Abbot implantable cardioverter defibrillator (ICD) and cardiac resynchronization defibrillator (CRT‐D) devices followed remote using the Merlin.net Patient Care Network in our institute in 2020. Status of the PVC response algorithm A‐Pace on PVC or Off was collected, and all atrial mode switch (AMS) episodes longer than 30 s were thoroughly evaluated. Data on clinical characteristics of the patients was collect from the electronic patient records. Results A total of 173 patients had A‐Pace on PVC and twenty‐five of them (14%) had at least one atrial high rate episode (AHRE) >30 s (AHRE) triggered by the action of this algorithm. The median PVC count was higher in patients who had algorithm triggered AHRE than in those with no algorithm‐triggered AHRE (1.7% [IQR 0–3.2] vs. 0% [IQR 0–1.1], p < .0001). The major clinical characteristics were comparable in the two groups. Conclusion The A‐Pace on PVC setting was frequently used in our patients. Our study shows that a considerable number of patients had at least one AHRE triggered by the algorithm. The use of this algorithm should be carefully reconsidered.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

“…Although this algorithm is intended to be antiarrhythmic, some case reports indicate that it may provoke endless loop tachycardia 6 and atrial fibrillation 7,8 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Novel findings of an old algorithm: PVC response “Atrial Pace’’ initiates atrial arrhythmias in Abbott ICD and CRT‐D devices

Sane

Marjamaa

Kuusisto

et al. 2022

Pacing Clinical Electrophis

View full text Add to dashboard Cite

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“…This is meant to increase the chance that the AV node will be refractory to another retrograde event from the subsequent V event. (Figure ) Although this feature was designed to prevent arrhythmias, we have previously reported an unintended consequence of proarrhythmia by PMT induction and another group has reported it as a cause of atrial fibrillation …”

Section: Introductionmentioning

confidence: 99%

A review of specialized and automated features in implantable cardiac devices

Ayinde

Lloyd

2019

Cardiovasc electrophysiol

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Automated features available in cardiac implantable electronic devices continue to increase in number and complexity. These features are frequently confused with device malfunction and often result in unnecessary clinical attention. This review will serve as an update to some of the more commonly-encountered features discussed in terms of the behavior they exhibit.algorithm, automatic, defibrillator, pacemaker

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Hybrid nanogenerator based closed-loop self-powered low-level vagus nerve stimulation system for atrial fibrillation treatment

et al. 2022

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Premature ventricular contraction response-induced new-onset atrial fibrillation

Cited by 4 publications

References 1 publication

Novel findings of an old algorithm: PVC response “Atrial Pace’’ initiates atrial arrhythmias in Abbott ICD and CRT‐D devices

Novel findings of an old algorithm: PVC response “Atrial Pace’’ initiates atrial arrhythmias in Abbott ICD and CRT‐D devices

A review of specialized and automated features in implantable cardiac devices

Hybrid nanogenerator based closed-loop self-powered low-level vagus nerve stimulation system for atrial fibrillation treatment

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