Repetitive non-reentrant ventriculo-atrial synchrony induced atrial fibrillation terminated with inappropriate shock

Aiman Smer; Rebecca Dietz; Hussam Abuissa

doi:10.1016/j.ipej.2016.10.006

Repetitive non-reentrant ventriculo-atrial synchrony induced atrial fibrillation terminated with inappropriate shock

Aiman Smer, Rebecca Dietz, Hussam Abuissa

Research output: Contribution to journal › Article

Abstract

Repetitive nonreentrant ventriculo-atrial synchrony (RNRVAS) is an arrhythmia which occurs in patients with dual-chamber devices and requires an intact ventriculo-atrial conduction. It can present with symptoms similar to those of pacemaker-mediated endless loop tachycardia and is an example of functional atrial undersensing and functional loss of atrial capture. In addition to loss of optimal atrioventricular (AV) delay and inappropriate ventricular pacing, RNRVAS may trigger atrial arrhythmias and cause serious complications. We report a case of RNRVAS-induced atrial fibrillation (AF) terminated with implantable cardioverter defibrillator (ICD) shock in a 74-year old female with no prior history of AF.

Original language	English (US)
Pages (from-to)	139-144
Number of pages	6
Journal	Indian Pacing and Electrophysiology Journal
Volume	16
Issue number	4
DOIs	https://doi.org/10.1016/j.ipej.2016.10.006
State	Published - Jul 1 2016

All Science Journal Classification (ASJC) codes

Cardiology and Cardiovascular Medicine
Physiology (medical)

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Smer, A., Dietz, R., & Abuissa, H. (2016). Repetitive non-reentrant ventriculo-atrial synchrony induced atrial fibrillation terminated with inappropriate shock. Indian Pacing and Electrophysiology Journal, 16(4), 139-144. https://doi.org/10.1016/j.ipej.2016.10.006

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abstract = "Repetitive nonreentrant ventriculo-atrial synchrony (RNRVAS) is an arrhythmia which occurs in patients with dual-chamber devices and requires an intact ventriculo-atrial conduction. It can present with symptoms similar to those of pacemaker-mediated endless loop tachycardia and is an example of functional atrial undersensing and functional loss of atrial capture. In addition to loss of optimal atrioventricular (AV) delay and inappropriate ventricular pacing, RNRVAS may trigger atrial arrhythmias and cause serious complications. We report a case of RNRVAS-induced atrial fibrillation (AF) terminated with implantable cardioverter defibrillator (ICD) shock in a 74-year old female with no prior history of AF.",

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