Changes in Morphology of the Paced QRS Complex Related to Pacemaker Output
- 1 October 1989
- journal article
- Published by Wiley in Pacing and Clinical Electrophysiology
- Vol. 12 (10) , 1640-1649
- https://doi.org/10.1111/j.1540-8159.1989.tb01843.x
Abstract
The influence of pacemaker output on the morphology of the paced QRS complex was studied from standard lead electrocardiograms in 69 patients with bipolar pacemakers. In 40 of the 69 patients (58%), there was a significant (P less than 0.001) change in electrical axis, from -75 degrees at the low output setting (2.7 V, 0.15 msec) to -67 degrees at the high output setting (8.1 V, 2.29 msec). In 30 patients, these changes were also associated with changes in the QRS morphology and in the T-wave. This phenomenon may be explained by additional stimulation from the proximal electrode at high output, thus altering the pattern of depolarization.Keywords
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