Blinded by the height: A case of telemetry T wave overcounting

Blinded by the height: A case of telemetry T wave overcounting

High grade atrioventricular (AV) block, defined as 2 or more non-conducted P waves, is a common indication for permanent pacemaker implantation and can be a cause of syncope or presyncope. A 61 year-old male presented to the emergency department with presyncopal symptoms and high grade AV block conf...

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Veröffentlicht in:Journal of electrocardiology 2019-05, Vol.54, p.76-78
Hauptverfasser: Groh, Christopher A., Goldschlager, Nora
Format: Artikel
Sprache:eng
Schlagworte:
Atrioventricular block
Cardiac arrhythmia
Cardiac telemetry monitoring
Hypertension
Ischemia
T wave Overcounting
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container_title Journal of electrocardiology
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creator Groh, Christopher A.
Goldschlager, Nora
description High grade atrioventricular (AV) block, defined as 2 or more non-conducted P waves, is a common indication for permanent pacemaker implantation and can be a cause of syncope or presyncope. A 61 year-old male presented to the emergency department with presyncopal symptoms and high grade AV block confirmed on electrocardiogram. Continuous cardiac telemetry monitoring did not trigger any alarm notification during episodes of AV block, due to T wave overcounting. The limitations of telemetry monitoring are rarely recognized and even more rarely reported in the literature.
doi_str_mv 10.1016/j.jelectrocard.2019.03.013
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source ScienceDirect Journals (5 years ago - present)
subjects Atrioventricular block
Cardiac arrhythmia
Cardiac telemetry monitoring
Hypertension
Ischemia
T wave Overcounting
title Blinded by the height: A case of telemetry T wave overcounting
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