Endocardial Electrograms from Pacemaker Catheters

Author:

GORDON ALVIN J.1,VAGUEIRO MARIA CELESTE1,BAROLD S. SERGE1

Affiliation:

1. From the Division of Cardiology, Department of Medicine, the Mount Sinai Hospital and the Mount Sinai School of Medicine, New York, New York.

Abstract

Proper placement of pacemaker catheters can be facilitated by recording endocardial electrograms from the catheters. These electrograms are also helpful in the investigation of pacemaker failure. Endocardial contact is indicated by S-T segment elevation. When bipolar catheters are used, these "contact currents" may be visible in electrograms from the tip or ring electrodes, or both. Right ventricular cavity electrograms are characterized by their high voltage and are influenced by intraventricular conduction defects and acute myocardial infarction. Serial changes have been described indicating myocardial injury, infarction, and healing in the area underlying the catheter tip.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Cited by 21 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Comparison of unipolar and bipolar ventricular paced evoked responses;Heart;1992-10-01

2. Dual-chamber pacing and pacemakers;Current Problems in Cardiology;1990-03

3. Valsalva-Induced Variations in the Intracardiac Signal;Pacing and Clinical Electrophysiology;1985-11

4. Orthogonal Ventricular Electrogram Sensing;Pacing and Clinical Electrophysiology;1983-05

5. Polarisation impendance of pacemaker electrodes:in vitro studies simulating practical operation;Medical & Biological Engineering & Computing;1981-09

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