Managed Ventricular Pacing Facilitating Atrioventricular Nodal Reentrant Tachycardia

Frisch, Daniel R.; Kenia, Anand S.; Walinsky, Paul; Balog, Joshua

doi:10.1111/pace.12318

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…93 The poor prognosis may be related to the significant prolongation of the AV interval allowed by MVP. 94 Pacing in the DDD mode likely prevented further episodes of atrial tachycardia by preventing long AV intervals, unlike the MVP mode, which permits long AV intervals as long as a ventricular event occurs before the subsequent atrial-paced or atrial-sensed event.…”

Section: Reducing the Percentage Of Rvpmentioning

confidence: 99%

Review of the epidemiology, pathogenesis and prevention of atrial fibrillation after pacemaker implantation

Wu¹,

Xu²,

Tu³

et al. 2023

Adv Clin Exp Med

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Cardiac pacemaker implantation is an important treatment for symptomatic bradycardia. However, epidemiological data show that the incidence of atrial fibrillation (AF) is significantly higher in patients with implanted pacemakers than in the general population, which may be related to the preoperative presence of multiple risk factors for AF, improvement of diagnostic sensitivity and the pacemaker itself. The pathogenesis of AF after the implantation of pacemaker is related to cardiac electrical remodeling, structural remodeling, inflammation, and autonomic nervous disorder, which are induced by the pacemaker. Moreover, different pacing modes and pacing sites have various effects on the pathogenesis of postoperative AF. Recent studies have reported that reducing the proportion of ventricular pacing, improving the pacing site and setting up special pacing procedures might be highly useful in prevention of AF after pacemaker implantation. This article reviews the epidemiology, pathogenesis, influencing factors, and preventive measures regarding AF after pacemaker surgery.

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Section: Reducing the Percentage Of Rvpmentioning

confidence: 99%

Review of the epidemiology, pathogenesis and prevention of atrial fibrillation after pacemaker implantation

Wu¹,

Xu²,

Tu³

et al. 2023

Adv Clin Exp Med

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“…The pacemaker switches to DDD pacing mode in case of persistent loss of AV conduction, while returning to AAI mode if AV conduction resumes. One of the major drawbacks of such algorithms is that long AV delays are permitted, leading to AV dyssynchrony, diastolic mitral regurgitation, or benign arrhythmias such as AV nodal reentrant tachycardia as previously described . Nonconducted atrial sensing/pacing events may also occur without mode switching to DDD mode, resulting in short‐long‐short ventricular sequences.…”

Section: Commentarymentioning

confidence: 99%

Atrial Fibrillation in a Dual‐Chamber ICD Recipient with Activation of the Ventricular Intrinsic Preference Algorithm: What Is the Mechanism?

Martins

Galand

Béhar

et al. 2016

Pacing Clinical Electrophis

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“…Although previous small noncontrolled studies with short follow-up reported effective VP prevention in patients with AVB through the MVP AAI-DDD changeover algorithm, 27 the application of the MVP mode in patients with AVB has been questioned because of the possibility of excessively long AV delays. [28][29][30][31][32][33][34] These concerns were amplified in a trial of MVP in patients receiving a pulse generator or an ICD. The MVP algorithm Atrial-based pacing in AAI(R) with VVI backup (LRL minus 15/min), the 2 modes operate independently from one another.…”

Section: Safety Profile Of Algorithmic Reduction In Ventricular Pacinmentioning

confidence: 99%

Reducing Ventricular Pacing Frequency in Patients With Atrioventricular Block

Auricchio

Ellenbogen

2016

Circ: Arrhythmia and Electrophysiology

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Figure 3. Proposed CRT indication as a function of left ventricular ejection fraction (EF) and ventricular pacing percentage. CRT may be indicated for patients with moderately reduced EF and high ventricular pacing demand. In patients with preserved EF and normal PR interval, ventricular pacing reduction algorithm may be preferred to standard dual-chamber pacemaker (DDD). In patients with intermediate EF and prolonged PR interval, combined CRT and ventricular pacing reduction algorithm may be a suitable option. *Patients with left bundle branch block (LBBB) will not benefit from reduced ventricular pacing (RVP) as RVP trades VP pacing induced LBBB vs natural LBBB. AV indicates atrioventricular; BIV, biventricular pacing; and HFrEF, heart failure with reduced ejection fraction.

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Managed Ventricular Pacing Facilitating Atrioventricular Nodal Reentrant Tachycardia

Cited by 4 publications

References 9 publications

Review of the epidemiology, pathogenesis and prevention of atrial fibrillation after pacemaker implantation

Review of the epidemiology, pathogenesis and prevention of atrial fibrillation after pacemaker implantation

Atrial Fibrillation in a Dual‐Chamber ICD Recipient with Activation of the Ventricular Intrinsic Preference Algorithm: What Is the Mechanism?

Reducing Ventricular Pacing Frequency in Patients With Atrioventricular Block

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