Dual chamber sequential pacing management of sinus node dysfunction: Advantages over single-chamber pacing

Stone, John M.; Bhakta, Ratilal D; Lutgen, Jerry

doi:10.1016/0002-8703(82)90162-4

Cited by 67 publications

(14 citation statements)

References 65 publications

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“…This result does not agree with other studies carried out using different methodologies [19, 20]. The results were probably influenced by the nonrandomized criteria for choosing the pacing modalities.…”

Section: Discussioncontrasting

confidence: 98%

Stroke in Paced Patients with Sick Sinus Syndrome: Influence of Left Atrial Function and Size

1999

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Patients with sick sinus syndrome have a high prevalence of cerebral ischemia. The present study was designed to establish the prevalence of stroke in patients with sick sinus syndrome and the role of atrial size and function. This prospective study analyzed 100 consecutive patients with sick sinus syndrome without atrial fibrillation who received either dual chamber or ventricular pacemakers. Patients underwent a cranial CT scan at the time of enrollment and again at the end of the study 24 months later. Endpoint of the study was cerebral ischemia. Clinical and echocardiographic features were assessed at the beginning of the study. A multivariate regression analysis was applied to all variables that had at least a marginal univariate predictive value. Cerebral ischemia occurred in 18 patients. Univariate predictors for embolism were age >65 years (p < 0.001), low atrial ejection force (p < 0.01) and a dilated left atrium with spontaneous echo contrast (p < 0.05). These findings identified patients at high risk for the development of peripheral embolism among the group of patients paced for sick sinus syndrome.

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Section: Discussioncontrasting

confidence: 98%

Stroke in Paced Patients with Sick Sinus Syndrome: Influence of Left Atrial Function and Size

1999

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“…Prog, in Pacing and Electrophysiol. 48. This responded to atropine and subsequently the patient's heart rate returned to normal.…”

Section: Acute Sinus Node Dysfunctionmentioning

confidence: 90%

Natural History of Sinoatrial Disorders

Shaw

Hocknell

1990

Cardiovasc electrophysiol

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“…The stroke risk in sick sinus syndrome before cardiac pacemaker insertion is substantial and probably remains so after pacemaker insertion (Fisher et al, 1988). The precise stroke risk after cardiac pacemaker insertion remains uncertain, but strokes have been observed in 4.5-23% of paced sick sinus syndrome patients who are followed for 2-3 years (Stone et al, 1982;Rosenqvist et al, 1986;Fisher et al, 1988). Data from long-term follow-up of paced sick sinus syndrome patients indicates that the incidence of stroke is 3% at 1 year, 5% at 5 years, and 13% at 10 years (Sgarbossa et al, 1993).…”

Section: Sick Sinus Syndromementioning

confidence: 99%