The Pacemaker Syndrome

  1. KALMAN AUSUBEL; and
  2. SEYMOUR FURMAN, M.D.
  1. Bronx, New York

    Abstract

    The pacemaker syndrome is a complex of clinical signs and symptoms related to the adverse hemodynamic and electrophysiologic consequences of ventricular pacing in the absence of other causes. Neurologic symptoms or those suggesting low cardiac output or congestive heart failure, temporally related to the onset of ventricular pacing, are indicative of the pacemaker syndrome. The evolution of a clinically recognized syndrome, an analysis of possible mechanisms and clinical manifestations, and diagnostic approaches and their implications for management are discussed.

    Article and Author Information

    • ▸From the Departments of Medicine (Cardiology) and Surgery, Montefiore Medical Center and the Albert Einstein College of Medicine; Bronx, New York.

    • ▸Requests for reprints should be addressed to Seymour Furman, M.D.; Montefiore Medical Center VCA-8, 111 East 210th Street; Bronx, NY 10467.

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