Short term outcomes with dual chamber versus single chamber pacing for atrioventricular block - A crossover trial

Chanthanamuthu, Ragavendra; Sakthivel, R.; Jain, Ashish; Anantharaj, Avinash; Pillai, Ajith Ananthakrishna; Satheesh, Santhosh; Selvaraj, Raja

doi:10.1016/j.ihj.2022.06.003

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…[ 8 ] However, multiple large, randomized, trials have failed to demonstrate reduction of mortality in patients with dual-chamber pacing compared to ventricular pacing. [ 9 10 11 12 13 14 ] Moreover, results on its effects on quality of life or morbidity are also inconclusive. [ 1 6 ] Based on a Cochrane review, DDD is the preferred method of pacing as there was lower incidence of AF and lower prevalence of pacemaker syndrome when compared to ventricular pacemakers.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Global Longitudinal Strain in Dual-chamber versus Ventricular Pacemaker in Complete Heart Block

Laksono,

Yuniadi,

Soesanto

et al. 2024

Journal of Cardiovascular Echography

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Context: Bradycardia caused by total atrioventricular block (TAVB) is treated by implantation of permanent pacemakers (PPMs) in either dual-chamber (DDD) versus ventricular (VVI) pacing modes. DDD is considered a more physiological pacing mode than VVI as it avoids atrioventricular dyssynchrony. However, previous trials have failed to demonstrate the superiority of DDD in improving quality of life and morbidity. Aims: This study aims to provide postpacemaker function of the left ventricle (LV) measured with global longitudinal strain (GLS), in TAVB patients. Settings and Design: This is a comparative study; samples included in the study are adult TAVB patients undergoing PPM implantation, without significant heart function, and structural abnormality. Echocardiographic parameters are obtained before, after 1 month, and after 3 months post-PPM. Subjects and Methods: A total of 98 TAVB patients undergoes PPM implantation during the study period, 55 patients were excluded, and in the end, only 43 patients fulfill the inclusion criteria. Statistical Analysis Used: Baseline data between DDD and VVI are compared using unpaired t-test. Statistical significance 1 month post-PPM and 3 months post-PPM is analyzed using paired t-test. Results: There were no significant differences between both groups at baseline. However, significant GLS changes are observed 1 month after PPM in the VVI group (P = 0.002), but no significant change was observed in the DDD group even after 3 months (P = 0.055). Conclusions: In our study, we conclude that DDD is superior in maintaining LV function in the short term in TAVB patients after PPM implantation.

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Section: Discussionmentioning

confidence: 99%

Comparison of Global Longitudinal Strain in Dual-chamber versus Ventricular Pacemaker in Complete Heart Block

Laksono,

Yuniadi,

Soesanto

et al. 2024

Journal of Cardiovascular Echography

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“…The results of studies examining the relationship between the number of pacemaker leads and the development of complications are not consistent in the literature. There are also studies that emphasize the importance of operator experience rather than the number of leads [23,24] . Aggarwal et al [25] reported that single or double lead implantation did not affect the rates of pneumothorax and general complication development.…”

Section: Discussionmentioning

confidence: 99%

Safety of Venography-Guided Extrathoracic Vein Puncture to Prevent Pneumothorax in Pacemaker Implantation

Topaloğlu

2023

Haydarpasa Numune Med J

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Introduction: Pacemaker implantation is routinely and widely used around the world for a variety of heart conditions. The use of venography guidance is very important for the operator at the puncture site and prevent complications such as pneumothorax. The aim of this study is to determine the effect of venography in preventing complications and to compare the rate of pneumothorax between patients operated with and without venography guidance. Methods: A total of 539 consecutive patients who had a pacemaker implanted in our clinic between 2012 and 2022 were included in this study. Pacemaker type according to the number of leads used, diagnosis for pacemaker implantation, patient age, gender, concomitant chronic obstructive pulmonary disease (COPD), presence of defibrillator battery and lead, venography guidance were evaluated and their contribution to the complication of pneumothorax was analyzed. Results: The incidence of pneumothorax development was found to be 1.3% in our study. Venography guidance was found to be significantly protective against pneumothorax, as the patient group that developed pneumothorax consisted of patients who did not undergo venography at a high rate. It was determined that in the patient group that developed pneumothorax, there was a high percentage of patients between the ages of 18-65, of female gender, without concomitant COPD, with 2 leads inserted and with implantable cardioverter defibrillator (ICD) implantation (single/double leads). Our study revealed that routine venography in pacemaker implantation is an effective method to protect patients from pneumothorax as well as lead fracture. Discussion and Conclusion: Our study revealed that routine venography during pacemaker implantation is an effective method to protect patients from pneumothorax. Since blind puncture of venous structures increases the risk of complications, venography guidance can be used routinely in pacemaker implantation.

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Short term outcomes with dual chamber versus single chamber pacing for atrioventricular block - A crossover trial

Cited by 2 publications

References 12 publications

Comparison of Global Longitudinal Strain in Dual-chamber versus Ventricular Pacemaker in Complete Heart Block

Comparison of Global Longitudinal Strain in Dual-chamber versus Ventricular Pacemaker in Complete Heart Block

Safety of Venography-Guided Extrathoracic Vein Puncture to Prevent Pneumothorax in Pacemaker Implantation

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