Is Mode Switching Beneficial? A Randomized Study in Patients With Paroxysmal Atrial Tachyarrhythmias

Kamalvand, Kayvan; Tan, Kay Sin; Kotsakis, Athanasios; Bucknall, Cliff; Sulke, Neil

doi:10.1016/s0735-1097(97)00162-9

Cited by 86 publications

(45 citation statements)

References 20 publications

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“…Previous comparisons of mode-switching algorithms have failed to demonstrate significant differences in quality of life, 23,24 even when algorithms were compared in the same patients. 24 We suggest, therefore, that differences in symptomatic improvements produced by pacemakers with different mode-switch algorithms are insignificant compared with the overall effect of ablation and DDDR/MS pacing for PAF.…”

Section: Discussionmentioning

confidence: 98%

Prospective Randomized Study of Ablation and Pacing Versus Medical Therapy for Paroxysmal Atrial Fibrillation

et al. 1999

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Section: Discussionmentioning

confidence: 98%

Prospective Randomized Study of Ablation and Pacing Versus Medical Therapy for Paroxysmal Atrial Fibrillation

et al. 1999

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“…58,60,63 The treadmill test was equally used in studies with participants of younger and intermediate ages, and the bicycle ergometer was predominantly used in studies with individuals older than 65 years. The use of the bicycle or treadmill test was not associated with differences in 67 Sulke, 1991 74 Deharo, 1996 62 Mitsuoka, 1988 69 Kenny, 1986 65 Channon, 1994 60 Menozzi, 1990 68 Kamalvand, 1997 64 Jordaens, 1988 50 Hargreaves, 1995 63 Davis, 1985 61 Kristensson, 1985 66 Perrins, 1983 71 Avery, 1994 58 Yee, 1984 77 Saner, 1996 73 Capucci, 1993 59 Oldroyd, 1991 70 Rediker 67 Sulke, 1991 74 Hargreaves, 1995 63 Deharo, 1996 62 Menozzi, 1990 68 Saner, 1996 73 Oldroyd, 1991 65 Channon, 1994 60 Jordaens, 1988 50 Hargreaves, 1995 63 Avery, 1994 58 Rediker reporting benefits, and with both instruments a benefit was found for dual-chamber pacemakers. Conversely, studies that used the 6-minute walking test reported no additional benefit for dualchamber pacing.…”

Section: Exercise and Effort Tolerancementioning

confidence: 97%

“…Loss to follow-up was reported in four further studies. 61,62,64,78 Only two studies reported loss to follow-up of greater than 20%.…”

Section: Attrition Biasmentioning

confidence: 99%

“…An exploration of the possible sources of variation was conducted, with stratification by pacing mode, age of recipients and outcome measure used. There were variations in the type of ventricular pacing mode (seven studies included rate response 62,63,67,68,70,73,76 ) and in the type of dualchamber pacing mode considered, with four studies of rate-modulated dual-chamber 59,64,73,74 and four of VDD pacemakers. 61,66,71,77 Three studies 63,73,74 compared ventricular pacing to two dual-chamber modes and were included in more than one group.…”

Section: Exercise and Effort Tolerancementioning

confidence: 99%

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The effectiveness and cost-effectiveness of dual-chamber pacemakers compared with single-chamber pacemakers for bradycardia due to atrioventricular block or sick sinus syndrome: systematic review and economic evaluation

Castelnuovo

Steín²,

Pitt³

et al. 2005

Health Technol Assess

112

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“…This mode is most useful for patients with AV block and paroxysmal atrial fibrillation (PAF). 6) Recognition of sinus node dysfunction (SND) and intact AV conduction complicated the practice of pacing treatment. 7) Prior to the introduction of mode switch, clinicians struggled with the application of dual chamber pacers in these patients.…”

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confidence: 99%

Reducing Ventricular Pacing in Sinus Node Dysfunction DDIR versus DDDR

et al. 2007

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Is Mode Switching Beneficial? A Randomized Study in Patients With Paroxysmal Atrial Tachyarrhythmias

Abstract: DM is the pacing mode of choice of patients with paroxysmal atrial tachyarrhythmias. With optimal programming, inappropriate mode switching and tracking of atrial tachyarrhythmias was very uncommon.

Cited by 86 publications

References 20 publications

Prospective Randomized Study of Ablation and Pacing Versus Medical Therapy for Paroxysmal Atrial Fibrillation

Prospective Randomized Study of Ablation and Pacing Versus Medical Therapy for Paroxysmal Atrial Fibrillation

The effectiveness and cost-effectiveness of dual-chamber pacemakers compared with single-chamber pacemakers for bradycardia due to atrioventricular block or sick sinus syndrome: systematic review and economic evaluation

Reducing Ventricular Pacing in Sinus Node Dysfunction DDIR versus DDDR

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