healthcareЗдравоохранение. HealthcareHealthcare1027-7218Republican Scientific and Practical Center for Medical Technologies, Informatization, Management and Health Economicshealthcare-28Research ArticleЛЕКЦИИ И ОБЗОРЫLECTURES AND REVIEWSПейсмекер-индуцированная тахикардияPacemaker-induced tachycardiaКазаковС. А.KazakovS. A.

Казаков Сергей Алексеевич - к. м. н., доцент кафедры кардиологии и ревматологии 

Ул. П. Бровки, 3/3, 20013, г. Минск

Сл. тел. +375 (17) 331-92-82

Институт ПK и ПKЗ БГМУBelarus202422092025042837Copyright © Казаков С.А., 20252025Казаков С.А.Kazakov S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://healthcare.ejournal.by/jour/article/view/28

Статья посвящена индуцированной пейсмекером тахикардии — осложнению функционирования антибра диаритмических двухкамерных кардиологических устройств. Рассматривается пошаговое консультирование пациентов при использовании клинического подхода и алгоритма PBL-STOP. Представлены частные вопросы оказания медицинской помощи на основании публикаций клинических электрофизиологов, рекомендаций Европейского общества кардиологов.

The article is devoted to pacemaker-induced tachycardia, a complication of the functioning of anti-bradyarrhythmic dual-chamber cardiac devices. Step-by-step patient counseling using the clinical approach and the PBL-STOP algorithm is considered. Particular issues of medical care are presented based on publications of clinical electrophysiologists and recommendations of the European Society of Cardiology.

индуцированная пейсмекером тахикардиядиагностикапрофилактикалечениеpacemaker-induced tachycardiadiagnosispreventiontreatmentReferencesTimmis A., Vardas P., Townsend N. et al. Atlas Writing Group, European Society of Cardiology. European Society of Cardiology: cardiovascular disease statistics 2021. Eur. Heart J. 2022; 43 (8):716—99.Timmis A., Vardas P., Townsend N. et al. Atlas Writing Group, European Society of Cardiology. European Society of Cardiology: cardiovascular disease statistics 2021. Eur. Heart J. 2022; 43 (8):716—99.Alasti M., Machado C., Rangasamy K. et al. Pacemaker- mediated arrhythmias. J. Arrhythm. 2018; 34 (5):485—92.Alasti M., Machado C., Rangasamy K. et al. Pacemaker- mediated arrhythmias. J. Arrhythm. 2018; 34 (5):485—92.Glikson M., Nielsen J. C., Kronborg M. B. et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Europace. 2022; 24 (1): 71—164.Glikson M., Nielsen J. C., Kronborg M. B. et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Europace. 2022; 24 (1): 71—164.Dauw J., Dupont M., Martens P. et al. Cardiac device troubleshooting in the intensive care unit: an educational review. Eur. Heart J. Acute Cardiovasc. Care. 2021; 10 (9):1086—98.Dauw J., Dupont M., Martens P. et al. Cardiac device troubleshooting in the intensive care unit: an educational review. Eur. Heart J. Acute Cardiovasc. Care. 2021; 10 (9):1086—98.Fenelon G., Paul L.C., Scuotto F. et al. Change in cycle length during pacemaker-mediated tachycardia: What is the mechanism? Clin. Case. Rep. 2021; 9 (5): e04271.Fenelon G., Paul L.C., Scuotto F. et al. Change in cycle length during pacemaker-mediated tachycardia: What is the mechanism? Clin. Case. Rep. 2021; 9 (5): e04271.Gill R., Meghrajani V. Pacemaker-mediated tachycardia: a case report. Cureus. 2022; 14 (7): e26583.Gill R., Meghrajani V. Pacemaker-mediated tachycardia: a case report. Cureus. 2022; 14 (7): e26583.Kim J.-S., Park S.-W. Pacemaker mediated tachycardia with tachycardia related cardiomyopathy. J. Cardiac Arrhythmia. 2010; 11 (4): 45—8.Kim J.-S., Park S.-W. Pacemaker mediated tachycardia with tachycardia related cardiomyopathy. J. Cardiac Arrhythmia. 2010; 11 (4): 45—8.Calton R. K., Hariya M., Calton R. M. et al. Pacemaker — mediated tachycardia leading to ventricular tachycardia and syncope. IHJ. Cardiovascular Case Reports (CVCR). 2022; 6 (1): 45—9.Calton R. K., Hariya M., Calton R. M. et al. Pacemaker — mediated tachycardia leading to ventricular tachycardia and syncope. IHJ. Cardiovascular Case Reports (CVCR). 2022; 6 (1): 45—9.Galand V., Behar N., Martins R. P. Ventricular fibrillation triggered by a pacemaker-mediated tachycardia protection algorithm. Europace. 2017; 19 (8): 1342.Galand V., Behar N., Martins R. P. Ventricular fibrillation triggered by a pacemaker-mediated tachycardia protection algorithm. Europace. 2017; 19 (8): 1342.Van Gelder B. M., Meijer A., Dekker L. R., Bracke F. A. Initiation of ventricular tachycardia by interruption of pacemaker-mediated tachycardia in a patient with a dual- chamber implantable cardioverter defibrillator. Pacing Clin. Electrophysiol. 2009; 32 (9):1227—30.Van Gelder B. M., Meijer A., Dekker L. R., Bracke F. A. Initiation of ventricular tachycardia by interruption of pacemaker-mediated tachycardia in a patient with a dual- chamber implantable cardioverter defibrillator. Pacing Clin. Electrophysiol. 2009; 32 (9):1227—30.Yoo H. S., Albino E., Fernandez P., et al. Pacemaker- mediated tachycardia with narrow QRS complexes. Clin. Case. Rep. 2018; 6 (6):1040—4.Yoo H. S., Albino E., Fernandez P., et al. Pacemaker- mediated tachycardia with narrow QRS complexes. Clin. Case. Rep. 2018; 6 (6):1040—4.Sakamoto A., Takeuchi R., Hosoya N. et al. Endless loop tachycardia below the upper tracking rate of a pacemaker: a case report. J. Arrhythm. 2012; 28: 356—9.Sakamoto A., Takeuchi R., Hosoya N. et al. Endless loop tachycardia below the upper tracking rate of a pacemaker: a case report. J. Arrhythm. 2012; 28: 356—9.O´Mara J. E., Fisher J. D., Goldie S. J. et al. Effects of cardioactive medications on retrograde conduction: continuing relevance for current devices. J. Interv. Card. Electrophysiol. 2006; 15: 49—55.O´Mara J. E., Fisher J. D., Goldie S. J. et al. Effects of cardioactive medications on retrograde conduction: continuing relevance for current devices. J. Interv. Card. Electrophysiol. 2006; 15: 49—55.Koruth J. S., Heist E. K., Milan D. J. Pacemaker tachycardia with changing rates. Pacing Clin. Electrophysiol. 2010; 33 (12):1552—3.Koruth J. S., Heist E. K., Milan D. J. Pacemaker tachycardia with changing rates. Pacing Clin. Electrophysiol. 2010; 33 (12):1552—3.Berruezo A., Mont L., Scalise A., Brugada J. Orthodromic pacemaker-mediated tachycardia in a biventricular system without an atrial electrode. J. Cardiovasc. Electrophysiol. 2004; 15 (9): 1100—2.Berruezo A., Mont L., Scalise A., Brugada J. Orthodromic pacemaker-mediated tachycardia in a biventricular system without an atrial electrode. J. Cardiovasc. Electrophysiol. 2004; 15 (9): 1100—2.Avendano R., Lavi N., Rosenfeld L. E. Around and around…a wide complex tachycardia. Circulation. 2022; 145: 1867—9.Avendano R., Lavi N., Rosenfeld L. E. Around and around…a wide complex tachycardia. Circulation. 2022; 145: 1867—9.Gerez M. A. E., Coutinho F. B., Ruiz L. F. et al. Pacemaker mediated tachycardia — a revision. Relampa. 2010; 23 (1): 37—42.Gerez M. A. E., Coutinho F. B., Ruiz L. F. et al. Pacemaker mediated tachycardia — a revision. Relampa. 2010; 23 (1): 37—42.Greenspon A. J., Greenberg R. M. Noninvasive evaluation of retrograde conduction times to avoid pacemaker-mediated tachycardia. J. Am. Coll. Cardiol. 1985; 5: 1403—6.Greenspon A. J., Greenberg R. M. Noninvasive evaluation of retrograde conduction times to avoid pacemaker-mediated tachycardia. J. Am. Coll. Cardiol. 1985; 5: 1403—6.Hesselson A. B. Simplified Interpretation of ICD Electrograms. — Malden, Mass: Blackwell Futura, 2005: 87.Hesselson A. B. Simplified Interpretation of ICD Electrograms. — Malden, Mass: Blackwell Futura, 2005: 87.Barold S. S., Stroobandt R., Van Heuverswyn F., Herweg B. Termination of pacemaker-mediated tachycardia by a critically timed atrial extrasystole. Cardiol. J. 2012; 19 (4): 443—4.Barold S. S., Stroobandt R., Van Heuverswyn F., Herweg B. Termination of pacemaker-mediated tachycardia by a critically timed atrial extrasystole. Cardiol. J. 2012; 19 (4): 443—4.Monteil B., Ploux S., Eschalier R. et al. Pacemaker- mediated tachycardia: manufacturer specifics and spectrum of cases. Pacing Clin. Electrophysiol. 2015; 38 (12): 1489—98.Monteil B., Ploux S., Eschalier R. et al. Pacemaker- mediated tachycardia: manufacturer specifics and spectrum of cases. Pacing Clin. Electrophysiol. 2015; 38 (12): 1489—98.Duray G. Z., Israel C. W., Wegener F. T., Hohnloser S. H. Tachycardia after pacemaker implantation in a patient with complete atrioventricular block. Europace. 2007; 9 (10): 900—3.Duray G. Z., Israel C. W., Wegener F. T., Hohnloser S. H. Tachycardia after pacemaker implantation in a patient with complete atrioventricular block. Europace. 2007; 9 (10): 900—3.Barold S. S., Stroobandt R. X. Atrial lead malfunction presenting as new onset pacemaker-mediated tachycardia. Europace. 2012; 14 (7): 1060—1.Barold S. S., Stroobandt R. X. Atrial lead malfunction presenting as new onset pacemaker-mediated tachycardia. Europace. 2012; 14 (7): 1060—1.Statescu C., Sascau R. A., Maciuc V. et al. Programming an optimal atrioventricular interval in a dual chamber pacemaker regional population. Maedica (Bucur). 2011; 6(4): 272—6.Statescu C., Sascau R. A., Maciuc V. et al. Programming an optimal atrioventricular interval in a dual chamber pacemaker regional population. Maedica (Bucur). 2011; 6(4): 272—6.Brabham W. W., Gold M. R. The role of AV and VV optimization for CRT. J. Arrhythm. 2013; 29: 153—61.Brabham W. W., Gold M. R. The role of AV and VV optimization for CRT. J. Arrhythm. 2013; 29: 153—61.Izrailtyan I., Schiller R. J., Katz R. I., Almasry I. O. Case report: Perioperative pacemaker-mediated tachycardia in the patient with a dual chamber implantable cardioverter- defibrillator. Anesth. Analg. 2013; 116 (2): 307—10.Izrailtyan I., Schiller R. J., Katz R. I., Almasry I. O. Case report: Perioperative pacemaker-mediated tachycardia in the patient with a dual chamber implantable cardioverter- defibrillator. Anesth. Analg. 2013; 116 (2): 307—10.Das M. K., Dandamudi G., Steiner H. A. Modern pacemakers: hope or hype? Pacing Clin. Electrophysiol. 2009; 32 (9): 1207—21.Das M. K., Dandamudi G., Steiner H. A. Modern pacemakers: hope or hype? Pacing Clin. Electrophysiol. 2009; 32 (9): 1207—21.Barold S. S., Stroobandt R. X. Pacemaker-mediated tachycardia initiated by an atrioventricular search algorithm to minimize right ventricular pacing. J. Electrocardiol. 2012; 45 (3): 336—9.Barold S. S., Stroobandt R. X. Pacemaker-mediated tachycardia initiated by an atrioventricular search algorithm to minimize right ventricular pacing. J. Electrocardiol. 2012; 45 (3): 336—9.Pedretti R. F. E., Iliou M. C., Israel C. W. et al. Comprehensive multicomponent cardiac rehabilitation in cardiac implantable electronic devices recipients: a consensus document from the European Association of Preventive Cardiology (EAPC; Secondary prevention and rehabilitation section) and European Heart Rhythm Association (EHRA). Eur. J. Prev. Cardiol. 2021; 28 (15): 1736—52.Pedretti R. F. E., Iliou M. C., Israel C. W. et al. Comprehensive multicomponent cardiac rehabilitation in cardiac implantable electronic devices recipients: a consensus document from the European Association of Preventive Cardiology (EAPC; Secondary prevention and rehabilitation section) and European Heart Rhythm Association (EHRA). Eur. J. Prev. Cardiol. 2021; 28 (15): 1736—52.Barold S. S., Stroobandt R., Sinnaeve A. F. Cardiac pacemakers and resynchronization step-by-step: an illustrated guide. 2nd edition. — Chichester, UK: Wiley- Blackwell; 2010: 138—40.Barold S. S., Stroobandt R., Sinnaeve A. F. Cardiac pacemakers and resynchronization step-by-step: an illustrated guide. 2nd edition. — Chichester, UK: Wiley- Blackwell; 2010: 138—40.Ducceschi V., Maddaluno F., Casaretti L., Sangiuolo R. Mapping and ablation of retrograde conduction during a nearly incessant pacemaker-mediated tachycardia in a patient with third-degree atrioventricular block. J. Innov. Card. Rhythm. Manag. 2019; 10 (4): 3620—2.Ducceschi V., Maddaluno F., Casaretti L., Sangiuolo R. Mapping and ablation of retrograde conduction during a nearly incessant pacemaker-mediated tachycardia in a patient with third-degree atrioventricular block. J. Innov. Card. Rhythm. Manag. 2019; 10 (4): 3620—2.

The authors declare that there are no conflicts of interest present.