Advanced algorithms can lead to electrocardiographic misinterpretations

Salvatore Luca D'Ascia; Gaetano Santulli; Vincenzo Liguori; Vittoria Marino; Claudia Arturo; Massimo Chiariello; Cristoforo D'Ascia

doi:10.1016/j.ijcard.2008.11.144

Advanced algorithms can lead to electrocardiographic misinterpretations

Salvatore Luca D'Ascia
, Gaetano Santulli
, Vincenzo Liguori
, Vittoria Marino
, Claudia Arturo
, Massimo Chiariello
, Cristoforo D'Ascia

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

We observed a patient with syncope, who implanted a pacemaker with advanced algorithms such as "atrial-tachy response" and "dynamic atrio-ventricular delay". After one year, conventional ECG Holter showed pacemaker malfunction, wrongly attributed to exposure to electromagnetic field. In fact, telemetry revealed an inappropriate programming and solved our case. Holter monitoring is commonly performed in the evaluation of pacemaker malfunction, albeit it remains a quite shallow diagnostic method especially to detect electromagnetic interferences. New algorithms seem important, but it is reasonable to obtain more suitable analytical tools, too.

Original language	English (US)
Pages (from-to)	e34-e36
Journal	International Journal of Cardiology
Volume	141
Issue number	2
DOIs	https://doi.org/10.1016/j.ijcard.2008.11.144
State	Published - May 28 2010
Externally published	Yes

Keywords

Atrial-tachy response
Atrio-ventricular delay
Electromagnetism
Holter monitoring
Pacemaker malfunction

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.ijcard.2008.11.144

Cite this

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title = "Advanced algorithms can lead to electrocardiographic misinterpretations",

abstract = "We observed a patient with syncope, who implanted a pacemaker with advanced algorithms such as {"}atrial-tachy response{"} and {"}dynamic atrio-ventricular delay{"}. After one year, conventional ECG Holter showed pacemaker malfunction, wrongly attributed to exposure to electromagnetic field. In fact, telemetry revealed an inappropriate programming and solved our case. Holter monitoring is commonly performed in the evaluation of pacemaker malfunction, albeit it remains a quite shallow diagnostic method especially to detect electromagnetic interferences. New algorithms seem important, but it is reasonable to obtain more suitable analytical tools, too.",

keywords = "Atrial-tachy response, Atrio-ventricular delay, Electromagnetism, Holter monitoring, Pacemaker malfunction",

author = "D'Ascia, \{Salvatore Luca\} and Gaetano Santulli and Vincenzo Liguori and Vittoria Marino and Claudia Arturo and Massimo Chiariello and Cristoforo D'Ascia",

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T1 - Advanced algorithms can lead to electrocardiographic misinterpretations

AU - D'Ascia, Salvatore Luca

AU - Santulli, Gaetano

AU - Liguori, Vincenzo

AU - Marino, Vittoria

AU - Arturo, Claudia

AU - Chiariello, Massimo

AU - D'Ascia, Cristoforo

PY - 2010/5/28

Y1 - 2010/5/28

N2 - We observed a patient with syncope, who implanted a pacemaker with advanced algorithms such as "atrial-tachy response" and "dynamic atrio-ventricular delay". After one year, conventional ECG Holter showed pacemaker malfunction, wrongly attributed to exposure to electromagnetic field. In fact, telemetry revealed an inappropriate programming and solved our case. Holter monitoring is commonly performed in the evaluation of pacemaker malfunction, albeit it remains a quite shallow diagnostic method especially to detect electromagnetic interferences. New algorithms seem important, but it is reasonable to obtain more suitable analytical tools, too.

AB - We observed a patient with syncope, who implanted a pacemaker with advanced algorithms such as "atrial-tachy response" and "dynamic atrio-ventricular delay". After one year, conventional ECG Holter showed pacemaker malfunction, wrongly attributed to exposure to electromagnetic field. In fact, telemetry revealed an inappropriate programming and solved our case. Holter monitoring is commonly performed in the evaluation of pacemaker malfunction, albeit it remains a quite shallow diagnostic method especially to detect electromagnetic interferences. New algorithms seem important, but it is reasonable to obtain more suitable analytical tools, too.

KW - Atrial-tachy response

KW - Atrio-ventricular delay

KW - Electromagnetism

KW - Holter monitoring

KW - Pacemaker malfunction

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M3 - Article

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JO - International Journal of Cardiology

JF - International Journal of Cardiology

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Advanced algorithms can lead to electrocardiographic misinterpretations

Abstract

Keywords

ASJC Scopus subject areas

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