“…The superiority of AAIR pacemaker over VVIR pacemaker was shown in previous studies, with a lower incidence of heart failure, atrial fibrillation, thromboembolism, stroke and death. 1 , 2 , 12 , 14 The choice between AAIR vs DDDR is still debated. Prospective studies by Masumoto et al 15 from Japan and Kim et al 4 from Korea with follow up over 5 yrs have shown AAIR pacing is safe compared to dual chamber pacing and was associated with less lead related complications 15 and chronic atrial fibrillation.…”