New-onset atrial fibrillation (AF) is commonly detected in patients with an implantable cardiac device. Appropriate evaluation of these patients includes a search for “reversible” causes that eventually might preclude the… Click to show full abstract
New-onset atrial fibrillation (AF) is commonly detected in patients with an implantable cardiac device. Appropriate evaluation of these patients includes a search for “reversible” causes that eventually might preclude the need for rate or rhythm control and, importantly, oral anticoagulation. We present the case of a patient with new-onset AF attributed to a premature ventricular complex (PVC) response algorithm that resulted in atrial pacing-induced long–short sequences. In this case, disabling the PVC response algorithm successfully prevented further AF.
               
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