A DDD pacing system normally requires the introduction and positioning
of two separate electrode leads. A VDD system may use a single lead w
ith a ventricular electrode at the tip and at least one atrial ring el
ectrode. The disadvantage of VDD systems is that the full range of DDD
stimulation and defection alternatives is not available. The present
animal study was made to evaluate a new single lead design with the di
stal electrode placed in the atrium and the proximal ring electrode in
the right ventricle. This design permits the full range of DDD option
s including atrial stimulation. Acute stimulation thresholds and sensi
ng amplitudes were stable and comparable to conventional DDD systems.
Long-term studies are on-going.