Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature

Albert Topf; Lukas J. Motloch; Johannes Kraus; Franz Danmayr; Moritz Mirna; Christiane Schernthaner; Uta C. Hoppe; Bernhard Strohmer

doi:10.1007/s10840-019-00698-6

Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature

Albert Topf, Lukas J. Motloch, Johannes Kraus, Franz Danmayr, Moritz Mirna, Christiane Schernthaner, Uta C. Hoppe, Bernhard Strohmer

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

3 Scopus citations

Abstract

A 62-year-old pacemaker-dependent patient presented to our department with a sudden onset of reduced physical capacity. While initial physical and pacemaker evaluations remained without specific findings, Holter-ECG monitoring revealed an abnormal rate response with unusual pauses during physical exercise. Consequently, closer evaluation of the pacemaker system revealed intermittent, exercise-related T-wave oversensing (TWOS). While TWOS remains a significant burden in ICD-patients, it might be an underestimated but clinically significant event in pacemaker patients. Further studies should evaluate the impact of TWOS in this patient population.

Original language	English
Pages (from-to)	67-70
Number of pages	4
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	59
Issue number	1
DOIs	https://doi.org/10.1007/s10840-019-00698-6
State	Published - 1 Oct 2020
Externally published	Yes

Keywords

Pacemaker
T wave oversensing

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10.1007/s10840-019-00698-6

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Topf, A., Motloch, L. J., Kraus, J., Danmayr, F., Mirna, M., Schernthaner, C., Hoppe, U. C., & Strohmer, B. (2020). Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature. Journal of Interventional Cardiac Electrophysiology, 59(1), 67-70. https://doi.org/10.1007/s10840-019-00698-6

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title = "Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature",

abstract = "A 62-year-old pacemaker-dependent patient presented to our department with a sudden onset of reduced physical capacity. While initial physical and pacemaker evaluations remained without specific findings, Holter-ECG monitoring revealed an abnormal rate response with unusual pauses during physical exercise. Consequently, closer evaluation of the pacemaker system revealed intermittent, exercise-related T-wave oversensing (TWOS). While TWOS remains a significant burden in ICD-patients, it might be an underestimated but clinically significant event in pacemaker patients. Further studies should evaluate the impact of TWOS in this patient population.",

keywords = "Pacemaker, T wave oversensing",

author = "Albert Topf and Motloch, \{Lukas J.\} and Johannes Kraus and Franz Danmayr and Moritz Mirna and Christiane Schernthaner and Hoppe, \{Uta C.\} and Bernhard Strohmer",

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year = "2020",

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doi = "10.1007/s10840-019-00698-6",

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Topf, A, Motloch, LJ, Kraus, J, Danmayr, F, Mirna, M, Schernthaner, C, Hoppe, UC & Strohmer, B 2020, 'Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature', Journal of Interventional Cardiac Electrophysiology, vol. 59, no. 1, pp. 67-70. https://doi.org/10.1007/s10840-019-00698-6

Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature. / Topf, Albert; Motloch, Lukas J.; Kraus, Johannes et al.
In: Journal of Interventional Cardiac Electrophysiology, Vol. 59, No. 1, 01.10.2020, p. 67-70.

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

TY - JOUR

T1 - Exercise-related T-wave oversensing

T2 - an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature

AU - Topf, Albert

AU - Motloch, Lukas J.

AU - Kraus, Johannes

AU - Danmayr, Franz

AU - Mirna, Moritz

AU - Schernthaner, Christiane

AU - Hoppe, Uta C.

AU - Strohmer, Bernhard

PY - 2020/10/1

Y1 - 2020/10/1

N2 - A 62-year-old pacemaker-dependent patient presented to our department with a sudden onset of reduced physical capacity. While initial physical and pacemaker evaluations remained without specific findings, Holter-ECG monitoring revealed an abnormal rate response with unusual pauses during physical exercise. Consequently, closer evaluation of the pacemaker system revealed intermittent, exercise-related T-wave oversensing (TWOS). While TWOS remains a significant burden in ICD-patients, it might be an underestimated but clinically significant event in pacemaker patients. Further studies should evaluate the impact of TWOS in this patient population.

AB - A 62-year-old pacemaker-dependent patient presented to our department with a sudden onset of reduced physical capacity. While initial physical and pacemaker evaluations remained without specific findings, Holter-ECG monitoring revealed an abnormal rate response with unusual pauses during physical exercise. Consequently, closer evaluation of the pacemaker system revealed intermittent, exercise-related T-wave oversensing (TWOS). While TWOS remains a significant burden in ICD-patients, it might be an underestimated but clinically significant event in pacemaker patients. Further studies should evaluate the impact of TWOS in this patient population.

KW - Pacemaker

KW - T wave oversensing

UR - https://www.scopus.com/pages/publications/85078131805

U2 - 10.1007/s10840-019-00698-6

DO - 10.1007/s10840-019-00698-6

M3 - Review article

C2 - 31974858

AN - SCOPUS:85078131805

SN - 1383-875X

VL - 59

SP - 67

EP - 70

JO - Journal of Interventional Cardiac Electrophysiology

JF - Journal of Interventional Cardiac Electrophysiology

IS - 1

ER -

Exercise-related T-wave oversensing: an underestimated cause of reduced exercise capacity in a pacemaker-dependent patient—a case report and review of the literature

Abstract

Keywords

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