Pacemaker-Mediated Tachycardia Follow-up
- Author: Brian Olshansky, MD; Chief Editor: Jeffrey N Rottman, MD more...
Further Inpatient Care
Once adequate measures are taken to eliminate PMT, inpatient care is not necessary.
See Medical Care.
PMT rarely is associated with any serious complications such as presyncope or syncope.
In many patients, the condition may be asymptomatic and is noted only with ECG or Holter monitoring.
With the appropriate programming interventions described above, the problem usually is resolved, and, in most modern pacemakers, it can be detected and treated by the device itself.
In patients who develop chest pain (angina pectoris) associated with the rapid pacing rate, consider a stress test to evaluate for coronary artery disease.
Prognosis is not directly altered by an episode of PMT and is defined by the patient's underlying cardiac or medical condition.
Indirectly, in a rare event such as PMT-induced syncope, a patient could sustain injury as a result of the syncope.
Persistent PMT can cause hypotension and heart failure symptoms.
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