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Atrial Capture Detection with Endocardial Electrodes
Authors:A.R. LIVINGSTON  F.J. CALLAGHAN  C.L. BYRD  J.P. HEEMELS    P. HOLLANDER    R. VAN  MEGHELEN   J.J.M.L. GHAPPIN
Affiliation:Telectronics and Gordis Pacing Systems, Miami, FL;Mt Sinai Medical Center, Miami Beach, FL;Telectronics Europa, BV, Roden, The Netherlands;St. Francis Hospital, Rotterdam. The Netherlands;St, Elizabeth Hospital, Tilburg, The Netherlands
Abstract:A new method of evoked response detection, previously demonstrated in the ventricle, has been studied in the atrium at the time of routine pacemaker implant in 16 patients. The atrial evoked response was readily detectable in all patients due to excellent recovery from poststimulus polarization. In six patients, as experimental threshold- tracking pacemaker was used to automatically verify atrial capture and to generate strength-duration curves. It is concluded that this pacing technique is both simple and reliable, and that automatic atrial threshold tracking is feasible.
Keywords:evoked response    threshold tracking    output regulation
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