Endless Loop Tachycardia in an AV Universal (DDD) Pacemaker

Abstract

Implantation of an A V universal (DDD) pacemaker, stimulating and sensing both atrium and ventricle caused a pacemaker mediated tachycardia, begun by a P wave occurring after a premature ventricular contraction, and sustained by P waves caused by retrograde AV conduction. The tachycardia was terminated by application of a magnet to the pulse generator which temporarily made it insensitive to incoming signals, both P and QRS. (PACE, Vol. 5. July‐August, 1982)