{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:26:04Z","timestamp":1740137164329,"version":"3.37.3"},"reference-count":1,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Pacemaker\u2010mediated tachycardia is a known arrhythmia in patients with dual chamber pacemakers and defibrillators and intact ventriculoatrial (VA) conduction. We report a case of pacemaker\u2010mediated reentrant arrhythmia (PMRA) in a patient with an atrioventricular\u00a0(AV) synchronous leadless pacemaker.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>A 91\u2010year\u2010old female presented with 2:1 AV conduction and received an AV synchronous leadless pacemaker. She had atrial mechanical sense\u2010ventricular paced beats between heart rates of 80\u2013100\u2009bpm more than 80% of the time. She was found to have a new cardiomyopathy and was referred for placement of biventricular pacemaker. At the time of device implantation, her electrocardiogram showed ventricular pacing with a short RP interval and superiorly directed P waves. Changes in the ventricular pacing rate resulted in changes in the atrial rate. Following device placement, her heart rate decreased to the lower rate limit of her pacemaker. The atrial mechanical sense impulse most likely was generated by a retrograde conducted P wave resulting in near incessant PMRA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PMRA may occur in patients who receive an AV synchronous leadless pacemaker with intact VA conduction and sinoatrial node dysfunction. Due to the lower rates of PMRA, this arrhythmia may be underrecognized. Interventions for and implications of PMRA need further investigation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16350","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T04:59:23Z","timestamp":1719377963000},"page":"1883-1887","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pacemaker\u2010mediated reentrant arrhythmia facilitated by an atrial\u2010tracking leadless pacemaker"],"prefix":"10.1111","volume":"35","author":[{"given":"Dejan","family":"Vrtikapa","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Cardiology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"},{"name":"Aurora BayCare Medical Center Green Bay Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Modaff","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8749-6875","authenticated-orcid":false,"given":"Ryan","family":"Kipp","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2019.10.017"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.16350","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T11:51:47Z","timestamp":1732017107000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.16350"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,25]]},"references-count":1,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/jce.16350"],"URL":"https:\/\/doi.org\/10.1111\/jce.16350","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"type":"print","value":"1045-3873"},{"type":"electronic","value":"1540-8167"}],"subject":[],"published":{"date-parts":[[2024,6,25]]},"assertion":[{"value":"2024-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}