HRS/ACCF Expert Consensus Statement on Pacemaker Device and Mode Selection

Gillis, Anne M.; Russo, Andrea M.; Ellenbogen, Kenneth A.; Swerdlow, Charles D.; Olshansky, Brian; Al‐Khatib, Sana M.; Beshai, John F.; McComb, Janet M.; Nielsen, Jens Cosedis; Philpott, Jonathan M.; Shen, Win Kuang

doi:10.1016/j.jacc.2012.06.011

Cited by 66 publications

(34 citation statements)

References 132 publications

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“…Unnecessary RV pacing should be minimized by using specific algorithms or programming longer atrioventricular delays, and this process is more important for patients with a higher risk of AF or who already have poorer LV function [49]. Patients with longer baseline PR intervals have a higher risk of AF regardless of the percentage of ventricular pacing or the length of the programmed atrioventricular interval [50].…”

Section: Non-crt Devices: Algorithms To Reduce Right Ventricular Stimmentioning

confidence: 99%

2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing

et al. 2016

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Section: Non-crt Devices: Algorithms To Reduce Right Ventricular Stimmentioning

confidence: 99%

2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing

et al. 2016

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“…Dual-chamber pacemaker is recommended over single-chamber atrial pacing for all patients with sick sinus syndrome [14]. Also, in our patient, a concomitant atrioventricular nodal disease was expected.…”

Section: Discussionmentioning

confidence: 78%

Sick Sinus Syndrome and Takotsubo Cardiomyopathy

Yassin

Subahi

Abubakar

et al. 2018

Case Reports in Cardiology

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Background. Takotsubo cardiomyopathy is associated with increased risk of ventricular arrhythmias, atrial fibrillation, and bradyarrhythmias. However, sinus node dysfunction is relatively infrequent in the setting of takotsubo cardiomyopathy. Case Report. We are reporting a case of a 73-year-old woman with a history of asymptomatic sinus bradycardia who developed sick sinus syndrome complicated by takotsubo cardiomyopathy. Conclusion. Acute symptomatic sick sinus syndrome in patients with preexisting silent sinus node dysfunction can trigger takotsubo cardiomyopathy. Understanding precipitating factors of takotsubo cardiomyopathy and identifying the patients at risk of life-threatening arrhythmia can help in refining risk stratification and therapy planning. Patients with sick sinus syndrome complicated by takotsubo cardiomyopathy may benefit from pacemaker implantation. However, evaluation on a case-by-case basis is mandatory.

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“…We observed that PM programming is driven neither by the pathophysiology of rhythm disease nor by recently published recommendations. 6 Indeed, only 46.6% of patients with SSS and 28% of AVB patients in sinus rhythm received a strictly physiologic programming according to the generic principles of maintenance of AV synchrony, avoidance of unnecessary atrial/ventricular pacing when not indicated, allowance of rate increase in chronotropically incompetent patients. 7 Physiologic programming was not associated with increased mortality or hospitalizations.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] However, only recently a general consensus on the optimal recommended pacing mode for selected rhythm disorders has been agreed and incorporated into a statement on pacemaker (PM) mode selection from HRS/ACCF. 6 Dualchamber pacing or single-chamber atrial pacing is recommended over single-chamber ventricular pacing in patients with sinus node dysfunction, and for patients with atrioventricular block (AVB) except in specific clinical situations (e.g. sedentary patients or those with multiple comorbidities).…”

Section: Introductionmentioning

confidence: 99%

Pacemaker Programming, Physiologic Pacing Settings, and Clinical Outcomes in Real-world Practice: Results from the OPTI-MIND Clinical Study

Biffi¹,

Pelargonio²,

Havlíček³

2016

JICRM

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ABSTRACT. The aim was to observe the relationship of pacemaker programming and patients' outcome in an unselected population of recipients in real-world practice. Pacemaker programming at hospital discharge and at scheduled follow-up visits was recorded and classified as physiologic based on simple principles: avoidance of unnecessary ventricular stimulation in patients without atrioventricular block, avoidance of unnecessary atrial stimulation in those without sinus node dysfunction, rate increase in those with chronotropic incompetence, and avoidance of hypotension-related symptoms. All-cause 2-year mortality was the primary endpoint; atrial fibrillation (AF) episodes leading to unplanned visits/hospitalizations was the secondary endpoint. A total of 1740 patients were followed for 24 ± 3 months, 89% had DDD(R) pacemakers; physiologic programming was not associated with better survival, but it was associated with a lower incidence of AF episodes in the 810 patients with AV block as primary pacemaker indication (6.5% versus 11%, po0.01). Physiologic pacemaker programming occurred in only 41.4% of patients at hospital discharge; reprogramming towards a physiologic setting occurred in 8.7% at follow-up, mainly (76%) within the first 6 months. Physiologic programming is associated with a lower incidence of AF episodes in AV block patients beyond maintenance of AV synchrony. Proactive pacemaker behavior to increase physiologic programming should be considered, in view of physicians' reluctance to change programming from shipment settings.

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HRS/ACCF Expert Consensus Statement on Pacemaker Device and Mode Selection

Cited by 66 publications

References 132 publications

2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing

2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing

Sick Sinus Syndrome and Takotsubo Cardiomyopathy

Pacemaker Programming, Physiologic Pacing Settings, and Clinical Outcomes in Real-world Practice: Results from the OPTI-MIND Clinical Study

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