This usually results in the appearance of too many pacing spikes, as seen on ECG (Fig. Undersensing takes place when the pacemaker fails to detect spontaneous myocardial depolarization, which results in asynchronous pacing. Atrial or ventricular pacing spikes occur irrespective of P waves or QRS elaborate.
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There isn’t any pacing spike at the predicted interval in the beginning of the tracing (circle), which implies a failure of pacing output within the pacemaker. At The underside with the tracing, the anticipated pacing intervals are marked.
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Along with the indigenous cardiac depolarization indicators (P or R waves), any electrical sign with sufficient amplitude and Regular prevalence may be sensed and might inhibit the pacemaker when pacing is necessary. Oversensing takes place when the pacemaker senses electrical indicators that it shouldn’t Generally come upon, which leads to inappropriate inhibition of your pacing stimulus.
“Ventricular fusion” is the electrical summation of the coronary heart’s intrinsic beat along with a depolarization from the pacing stimulus. The hallmark of the phenomenon is the fact its morphology lies amongst a completely paced beat and an entire intrinsic defeat.
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