Pacemaker mediated tachycardia
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: PMT, endless loop tachycardia,
Overview
Pacemaker mediated tachycardia is a condition in which an artificial implanted pacemaker stimulates the the ventricles (the lower chambers of the heart) to beat at rates that are inappropriately fast.
Pathophysiology
Pacemaker mediated tachycardia is a form of AV nodal reentrant tachycardia. In PMT, the artificial pacemaker forms the anterograde (atrium to ventricle) limb of the circuit and the atrioventricular (AV) node forms the retrograde limb (ventricle to atrium) of the circuit.
Causes
- The rate response setting of the pacemaker is set too sensitive
- Tracking of noise in the atrium as can occur with electromagnetic interference
- Tracking an atrial tachyarrhythmia by the dual chamber pacemaker
Treatment
The treatment of PMT typically involves reprogramming the pacemaker.