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An automated algorithm for the detection of atrial fibrillation in the presence of paced rhythms

Approximately 5% of diagnostic ECGs acquired in the hospital setting are from patients with pacemakers. A significant percentage of these patients are in atrial fibrillation or flutter (AF), and have increased risk of stroke. Many automated diagnostic algorithms abort analysis when paced rhythms are identified. The Philips DXL algorithm can detect AF in the presence of paced rhythms and provides interpretations for both rhythms.