Evidence map›Paper›PMID 42649419›Full record

ArticleHerzschrittmachertherapie & Elektrophysiologie2026

Pseudo-pacemaker syndrome triggered by atrioventricular hysteresis algorithm activation in a patient with left bundle branch area pacing: a case report.

Luca Nolte, Corinna Lenz, Max Olav Schrage, Hinrich Schroer

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Article in Herzschrittmachertherapie & Elektrophysiologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Luca NolteDepartment of Internal Medicine and Cardiology, BG Klinikum Unfallkrankenhaus Berlin, Warener Str. 7, 12683, Berlin, Germany.
Corinna LenzDepartment of Internal Medicine and Cardiology, BG Klinikum Unfallkrankenhaus Berlin, Warener Str. 7, 12683, Berlin, Germany.
Max Olav SchrageDepartment of Internal Medicine and Cardiology, BG Klinikum Unfallkrankenhaus Berlin, Warener Str. 7, 12683, Berlin, Germany.
Hinrich SchroerDepartment of Internal Medicine and Cardiology, BG Klinikum Unfallkrankenhaus Berlin, Warener Str. 7, 12683, Berlin, Germany. Hinrich.Schroer@med.uni-rostock.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atrioventricular (AV) hysteresis algorithms are designed to minimize unnecessary ventricular pacing. This case report describes a young patient with left bundle branch area pacing (LBBAP) in whom activation of an AV-hysteresis algorithm resulted in excessive prolongation of AV intervals, leading to ineffective AV synchrony and recurrence of symptoms consistent with a pseudo-pacemaker syndrome despite permanent pacemaker implantation, including dizziness and near-syncope. The case highlights the importance of careful device programming, particularly in patients undergoing conduction system pacing.

Indexed as

AV dyssynchronieAV-hysteresis algorithmConduction system pacingDevice programmingLBBAP

Identifiers

PMID42649419

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.