The hallmark of the phenomenon is the fact its morphology lies amongst a completely paced beat and an entire intrinsic defeat. “Ventricular fusion” is the electrical summation of the coronary heart’s intrinsic beat along with a depolarization from the pacing stimulus.
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Undersensing takes place when the pacemaker fails to detect spontaneous myocardial depolarization, which results in asynchronous pacing. This usually results in the appearance of too many pacing spikes, as seen on ECG (Fig. Atrial or ventricular pacing spikes occur irrespective of P waves or QRS elaborate.
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