Diagnostic accuracy of pace spikes in the electrocardiogram to diagnose paced rhythm

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Diagnostic accuracy of pace spikes in the electrocardiogram to diagnose paced rhythm. / Andersson, Hedvig Bille; Hansen, Marco Bo; Thorsberger, Mads; Biering-Sørensen, Tor; Nielsen, Jonas Bille; Graff, Claus; Pehrson, Steen; Svendsen, Jesper Hastrup.

In: Journal of Electrocardiology, Vol. 48, No. 5, 09.2015, p. 834-9.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Andersson, HB, Hansen, MB, Thorsberger, M, Biering-Sørensen, T, Nielsen, JB, Graff, C, Pehrson, S & Svendsen, JH 2015, 'Diagnostic accuracy of pace spikes in the electrocardiogram to diagnose paced rhythm', Journal of Electrocardiology, vol. 48, no. 5, pp. 834-9. https://doi.org/10.1016/j.jelectrocard.2015.07.005

APA

Andersson, H. B., Hansen, M. B., Thorsberger, M., Biering-Sørensen, T., Nielsen, J. B., Graff, C., Pehrson, S., & Svendsen, J. H. (2015). Diagnostic accuracy of pace spikes in the electrocardiogram to diagnose paced rhythm. Journal of Electrocardiology, 48(5), 834-9. https://doi.org/10.1016/j.jelectrocard.2015.07.005

Vancouver

Andersson HB, Hansen MB, Thorsberger M, Biering-Sørensen T, Nielsen JB, Graff C et al. Diagnostic accuracy of pace spikes in the electrocardiogram to diagnose paced rhythm. Journal of Electrocardiology. 2015 Sep;48(5):834-9. https://doi.org/10.1016/j.jelectrocard.2015.07.005

Author

Andersson, Hedvig Bille ; Hansen, Marco Bo ; Thorsberger, Mads ; Biering-Sørensen, Tor ; Nielsen, Jonas Bille ; Graff, Claus ; Pehrson, Steen ; Svendsen, Jesper Hastrup. / Diagnostic accuracy of pace spikes in the electrocardiogram to diagnose paced rhythm. In: Journal of Electrocardiology. 2015 ; Vol. 48, No. 5. pp. 834-9.

Bibtex

@article{3158634f603f4e31a84345079934493b,

title = "Diagnostic accuracy of pace spikes in the electrocardiogram to diagnose paced rhythm",

abstract = "OBJECTIVE: To determine how often cardiac resynchronization therapy (CRT) pacing systems generate visible pace spikes in the electrocardiogram (ECG).METHODS: In 46 patients treated with CRT pacing systems, we recorded ECGs during intrinsic rhythm, atrial pacing and ventricular pacing. ECGs were analysed for atrial and ventricular pace spikes by two experienced ECG readers blinded to the pacing therapy and to the study purpose.RESULTS: Atrial pacing generated visible pace spikes in less than 70% of the ECGs, whereas ventricular pacing generated visible pace spikes in about 90% of ECGs. The sensitivity of manual ECG interpretation for pace spikes was low for atrial pacing (Reader 1: 0.62 [95% confidence interval (CI) 0.50-0.74]; Reader 2: 0.65 [95% CI 0.53-0.77]) and moderate for ventricular pacing (Reader 1: 0.88 [95% CI 0.81-0.93]; Reader 2: 0.93 [95% CI 0.87-0.97]).CONCLUSIONS: In patients with CRT pacing systems, the absence of visible pace spikes in the ECG does not rule out paced rhythm.",

author = "Andersson, {Hedvig Bille} and Hansen, {Marco Bo} and Mads Thorsberger and Tor Biering-S{\o}rensen and Nielsen, {Jonas Bille} and Claus Graff and Steen Pehrson and Svendsen, {Jesper Hastrup}",

year = "2015",

month = sep,

doi = "10.1016/j.jelectrocard.2015.07.005",

language = "English",

volume = "48",

pages = "834--9",

journal = "Journal of Electrocardiology",

issn = "0022-0736",

publisher = "Churchill Livingstone",

number = "5",

}

RIS

TY - JOUR

T1 - Diagnostic accuracy of pace spikes in the electrocardiogram to diagnose paced rhythm

AU - Andersson, Hedvig Bille

AU - Hansen, Marco Bo

AU - Thorsberger, Mads

AU - Biering-Sørensen, Tor

AU - Nielsen, Jonas Bille

AU - Graff, Claus

AU - Pehrson, Steen

AU - Svendsen, Jesper Hastrup

PY - 2015/9

Y1 - 2015/9

N2 - OBJECTIVE: To determine how often cardiac resynchronization therapy (CRT) pacing systems generate visible pace spikes in the electrocardiogram (ECG).METHODS: In 46 patients treated with CRT pacing systems, we recorded ECGs during intrinsic rhythm, atrial pacing and ventricular pacing. ECGs were analysed for atrial and ventricular pace spikes by two experienced ECG readers blinded to the pacing therapy and to the study purpose.RESULTS: Atrial pacing generated visible pace spikes in less than 70% of the ECGs, whereas ventricular pacing generated visible pace spikes in about 90% of ECGs. The sensitivity of manual ECG interpretation for pace spikes was low for atrial pacing (Reader 1: 0.62 [95% confidence interval (CI) 0.50-0.74]; Reader 2: 0.65 [95% CI 0.53-0.77]) and moderate for ventricular pacing (Reader 1: 0.88 [95% CI 0.81-0.93]; Reader 2: 0.93 [95% CI 0.87-0.97]).CONCLUSIONS: In patients with CRT pacing systems, the absence of visible pace spikes in the ECG does not rule out paced rhythm.

AB - OBJECTIVE: To determine how often cardiac resynchronization therapy (CRT) pacing systems generate visible pace spikes in the electrocardiogram (ECG).METHODS: In 46 patients treated with CRT pacing systems, we recorded ECGs during intrinsic rhythm, atrial pacing and ventricular pacing. ECGs were analysed for atrial and ventricular pace spikes by two experienced ECG readers blinded to the pacing therapy and to the study purpose.RESULTS: Atrial pacing generated visible pace spikes in less than 70% of the ECGs, whereas ventricular pacing generated visible pace spikes in about 90% of ECGs. The sensitivity of manual ECG interpretation for pace spikes was low for atrial pacing (Reader 1: 0.62 [95% confidence interval (CI) 0.50-0.74]; Reader 2: 0.65 [95% CI 0.53-0.77]) and moderate for ventricular pacing (Reader 1: 0.88 [95% CI 0.81-0.93]; Reader 2: 0.93 [95% CI 0.87-0.97]).CONCLUSIONS: In patients with CRT pacing systems, the absence of visible pace spikes in the ECG does not rule out paced rhythm.

U2 - 10.1016/j.jelectrocard.2015.07.005

DO - 10.1016/j.jelectrocard.2015.07.005

M3 - Journal article

C2 - 26278651

VL - 48

SP - 834

EP - 839

JO - Journal of Electrocardiology

JF - Journal of Electrocardiology

SN - 0022-0736

IS - 5

ER -

ID: 161279312

Department of Biomedical Sciences