Serendipitous Supernormality.
Publication/Presentation Date
5-1-2025
Abstract
We describe a patient who underwent AV node modification to create complete heart block in the setting of incessant, ablation-and-drug-refractory, symptomatic atypical atrial flutter. His dual chamber defibrillator (previously implanted for resuscitated cardiac arrest) was programmed to the VVIR mode at a faster pacing rate of 85 bpm. Serendipitously, this rate was an almost exact factorial of his flutter rate of 250-260 bpm. This resulted in every 6th flutter wave falling in the supernormal period, resulting in fixed-coupled supraventricular bigeminy and trigeminy in the setting of complete heart block. Reprogramming the pacing rate to 75 bpm abolished bigeminy and trigeminy.
Volume
30
Issue
3
First Page
70069
Last Page
70069
ISSN
1542-474X
Published In/Presented At
Pavri, B. B., & Frankel, E. (2025). Serendipitous Supernormality. Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 30(3), e70069. https://doi.org/10.1111/anec.70069
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
40181525
Department(s)
Administration and Leadership
Document Type
Article