What causes pacemaker undersensing?

Updated: Feb 13, 2017
  • Author: Daniel M Beyerbach, MD, PhD; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

Answer

Undersensing occurs when a pacer incorrectly misses intrinsic depolarization and paces despite intrinsic activity. The pacemaker is more or less operating in asynchronous mode. This may be due to poor lead positioning, lead dislodgment, magnet application, low battery, or MI. Management is similar to that for other types of failures.


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