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A Case of Cross Stimulation
Authors:YOSHITAKA DOI,KAZUYUKI TAKADA,OSAMU NAKAGAKI,KOUSEI YOSHIMURA,,SHIGERU OGAWA,TADAYUKI HIROKI,&dagger  ,KIKUO ARAKAWA&dagger  
Affiliation:Department of Internal Medicine, Saiseikai Fukuoka General Hospital;Department of Surgery;Second Department of Internal Medicine, School of Medicine, Fukuoka University, Fukuoka, Japan
Abstract:
Cross stimulation in a dual chamber pacing system, in which the atrial stimulus intermittently captured the right ventricle, occurred immediately after pacemaker implantation in a 71-year-old man. It was prevented temporarily by reducing the pacing rate so that P wave synchronous ventricular (VDD) pacing resulted and by reducing the output of the atrial circuit from 5 to 4 volts. Cross stimulation disappeared spontaneously 14 days after surgery.
Keywords:cross stimulation    dual chamber pacing system
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