Natural history of sinus node disease treated with atrial pacing in 213 patients: Implications for selection of stimulation mode

Brandt, Johan; Anderson, Harald; Fåhraeus, Thomas; Schüller, Hans

doi:10.1016/0735-1097(92)90018-i

Cited by 114 publications

(52 citation statements)

References 30 publications

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“…Even development of chronic AF does not subject the atrially paced patients to a mode change to ventricular demand, as long as ventricular response is adequate. 8,10,24) This was shown in one of our patients. In fact, there are arguments that development of stable AF indicates an end stage of sick sinus syndrome and provides a self cure of this disease.17, However, the development and persistence of atrial fibrillation may still present an obstacle to maximal medical control of heart rate in the absence of electrical ventricular support in patients paced atrially only.…”

Section: Discussionsupporting

confidence: 75%

Atrial Demand Pacing in Patients with Symptomatic Sick Sinus Syndrome.

Lee¹,

Kong²,

Wang³

et al. 1994

Jpn Heart J

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Section: Discussionsupporting

confidence: 75%

Atrial Demand Pacing in Patients with Symptomatic Sick Sinus Syndrome.

Lee¹,

Kong²,

Wang³

et al. 1994

Jpn Heart J

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“…28) Despite all the studies suggesting a disadvantage of VVI mode, a few randomized, controlled study has been performed. [27][28][29] Although the Canadian Trial of Physiologic Pacing (CTOPP) 30) did not show benefit of physiologic pacing on overall mortality, CTOPP reported an 18% reduction (6.6% annual rate with ventricular pacing vs 5.3% with physiological pac- In this case, atrial fibrillation was started followed by single PAC.…”

Section: ) Pacing Mode Selectionmentioning

confidence: 85%

“…[25][26][27] In our series, the long-term evaluation of the development of persistent AF and recurrence of paroxysmal AF were studied in 70 patients with a history of AF before pacemaker implantation. In a mean follow-up of 8 years, the incidence of chronic AF was 78% in the patients undergoing VVI pacing compared with 45% in DDD pacing and recurrence rate of paroxysmal AF was 93% in VVI pacing and 58% in DDD pacing.…”

Section: ) Pacing Mode Selectionmentioning

confidence: 99%

Pacing Therapy for Prevention of Atrial Fibrillation

Mizutani

2005

J Arrhythmia

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Nonpharmacological therapy is being evaluated for the prevention of atrial fibrillation (AF). Pacing has been proposed as a one of the option to prevent AF. In patients with bradycardia and requiring pacemaker, physiological pacing such as dual chamber pacing or atrial pacing has an advantage against ventricular pacing in prevention AF. Pacing from novel site like the dual-site atrium, biatrial, Bachman, and low sepatl pacing may reduce AF burden and new anti-AF pacemakers with atrial prevention algorithm may decrease AF further. However, selecting the appropriate patients and adopting tailored-therapy for individual patient is likely to remain one of the difficulties in achieving an advantage. This review discusses the current status of pacing therapy for the prevention of AF. It also discusses the some of merits and limitations of pacing therapy for the treatment of AF. (J Arrhythmia 2005; 21: 438-449)

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“…Any pacemaker reoperation is associated with a 2% risk of device infection, with a potential need to extract the complete pacemaker system [11,12]. Some studies showed that bundle branch block, bifascicular block [13], or Wenckebach block point lower than 120 beats/min [14] were predictive for the development of advanced atrioventricular block. However, some other studies presented opposing results [15,16].…”

Section: Streszczeniementioning

confidence: 99%

AAI – the forgotten pacing mode

Domagała¹,

Polewczyk²,

Zandecki³

et al. 2017

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For a long time the AAI pacing mode was commonly used in patients with sick sinus syndrome, who were treated with pacemaker. After the guideline recommendations were updated in 2013 the AAI mode was displaced by the DDDR mode, especially with atrioventricular delay management. The most important argument for this change was the risk of the development of advanced atrioventricular block in long-term observation. This situation may require changing the pacing mode to DDD and implanting a ventricular lead. However, the AAI pacing mode has many forgotten advantages and it could still be successfully used in well selected patients with sick sinus syndrome. StreszczeniePrzez wiele lat tryb stymulacji AAI był powszechnie używany u pacjentów z zespołem chorej zatoki, którzy wymagali implantacji kardiostymulatora. Po zmianie wytycznych w 2013 r. rozruszniki AAI zostały niemal całkowicie wyparte przez DDD, zwłaszcza z programowanym czasem opóźnienia przedsionkowo-komorowego. Argumentem za taką zmianą postępowania było głównie ryzyko rozwoju zaawansowanego bloku przedsionkowo-komorowego w długoterminowej obserwacji. Taka sytuacja może skutkować koniecznością zmiany trybu stymulacji, a co za tym idzie -koniecznością implantacji elektrody komorowej. Należy jednak pamiętać, że stymulacja w trybie AAI ma także wiele zapomnianych korzyści, które powodują, że nadal może ona być z powodzeniem stosowana w dobrze dobranej grupie pacjentów z objawową chorobą węzła zatokowego.

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Natural history of sinus node disease treated with atrial pacing in 213 patients: Implications for selection of stimulation mode

Cited by 114 publications

References 30 publications

Atrial Demand Pacing in Patients with Symptomatic Sick Sinus Syndrome.

Atrial Demand Pacing in Patients with Symptomatic Sick Sinus Syndrome.

Pacing Therapy for Prevention of Atrial Fibrillation

AAI – the forgotten pacing mode

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