Clinical Observations with Long‐term Atrial Pacing

  title={Clinical Observations with Long‐term Atrial Pacing},
  author={A B{\"o}hm and Arnold Pint{\'e}r and {\'A}d{\'a}m Sz{\'e}kely and Istv{\'a}n Pr{\'e}da},
  journal={Pacing and Clinical Electrophysiology},
Atrial pacing (AP), despite its beneficial hemodynamic and antiarrhythmic effect, is still an underused mode of stimulation. The main purpose of this study was to evaluate the long‐term results of AP. Sixty four patients (pts) with sinus node disease (28 male and 36 female: mean age 54,2; range:44–88 years), 3,2% of the total implantation at our clinic were treated with AP between 1982–96. Criteria for atrial pacing were: no AV block in the history, no AV‐block during carotid sinus massage… 
Effectiveness of atrial versus atrioventricular pacing for sick sinus syndrome during long-term follow-up.
Atrial stimulation is safe in SSS but it may be associated with an increased risk of ventricular lead implantation if atrioventricular block or persistent AF with slow ventricular rate develops, and DDD and AAI groups did not differ significantly in terms of survival, development of persistent AF, and lead-related complications.
Long-term clinical performance of AAI pacing in patients with sick sinus syndrome: a comparison with dual-chamber pacing.
  • H. Masumoto, Y. Ueda, +4 authors M. Usui
  • Medicine
    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
  • 2004
AAI pacing, a simple system using a single lead and single-chamber pacemaker, can achieve a clinical outcome similar to that of the DDD mode in patients with SSS and normal AV conduction.
Antiarrhythmic Effect of Atrial Pacing
Patients with sick sinus syndrome comprise approximately 40-50% of all patients receiving permanent pacemakers. In such patients, VVI pacing is suitable to prevent serious symptoms like syncope, but
Atrial Fibrillatory Electrogram Measurement Allows Atrial Lead Placement in Patients Who Develop Atrial Fibrillation During Permanent Dual Chamber Pacemaker Implantation
Placement of atrial leads in patients who develop atrial fibrillation during pacemaker implantation is feasible; fibrillatory electrogram amplitudes showed a good correlation with the atrial signal after conversion to an organized atrial rhythm.
Bradyarrhythmias and Indications for Pacing
This chapter discusses in some detail the current and emerging indications for temporary and permanent pacing, and reviews some of the basic concepts and recent advances in pacing techniques and technology that are applicable to the various subsets of patients.
Detection of AAI, R Pacemaker Syndrome by Holter Monitoring: A Case Report
Implantation of a rate responsive atrial pacemaker improved the exercise capacity of the patient, but exercise intolerance was still intermittently present and reprogramming of the pacemaker eliminated the phenomenon.
Management of atrial tachyarrhythmias in patients with implantable devices.
The incidence of atrial fibrillation in patients with conduction system disease is high and the management of patients with pacemakers and atrial fibrillation is discussed. The use of mode switch
Formal Modelling and Verification of the Operational Modes of Pacemaker
This paper presents a model for the verification and validation of a pacemaker system using the SPIN model checker in which different LTL properties are verified.
Compressed sampling for heart rate monitoring
For the first time compressed sampling (CS) has been applied to heart rate (HR) measurements. The signals can be reconstructed from samples far below the Nyquist rate with negligible small errors, a
System for Nature-inspired Signal Processing: Principles and Practice
Simultaneous non-invasive acquisition of bio-signals representing contributions from multiple layers of neuronal populations within the brain could provide new insights leading to the resolution of many of these outstanding issues and provide a deeper understanding of the underlying physiological processes.


Long-term pacing in sinus node disease: effects of stimulation mode on cardiovascular morbidity and mortality.
In sinus node disease, the advantages of AAI over VVI pacing persist during long-term follow-up and appear to result in a lower mortality rate among patients treated with AAI pacing.
Long‐Term Functional Integrity of Atrial Leads
It is concluded that the choice of pacing mode for a new pacemaker should be based solely on the clinical indication and not on the concern that atrial pacing and sensing will be unreliable.
Atrial Pacing: Who do We Pace and What do We Expect? Experiences with 100 Atrial Pacemakers
Atrial pacing is a satisfactory pacing mode in patients with sick sinus syndrome provided satisfactory atrioventricular conduction has been shown by incremental atrial pacing to at least 120 beats/min and carotid hypersensitivity is absent, progression to complete atriventricular block is uncommon.
The Underlying Heart Rhythm in Patients with an Artificial Cardiac Pacemaker
Among AVB patients (1) atriaJ fibrillation, flutter or tachycardia and (2) sinus rhythm with incomplete AVB, especially Möbitz 1, when present before pacemaker implantation, were associated with a significantly lower incidence of deficient UHR during subsequent pacing in comparison with otherAVB patients.
Atrial Inhibited Pacing—An Underused Mode of Cardiac Stimulation
  • L. Rydén
  • Medicine
    Pacing and clinical electrophysiology : PACE
  • 1988
The benefits and safety of atrial instead of ventricular pacing in sinus node disease are highlighted and the assumption that the majority of patients paced for sick sinus nodes disease receive VVI pacemakers although some may be paced in the AV universal (DDD) mode is justified.
Atrial Pacing and the Risk for AV Block: Is There a Time for Change in Attitude?
There was no significant difference in follow‐up time between studies that showed a low, compared with a high incidence of AV‐block, and patients with sinus node disease treated with atrial pacing have a low risk of developing clinically important conduction disturbancies.
Ventricular Pacing for Sick Sinus Syndrome‐A Risky Business?
There is some evidence of a worse outlook for VVI patients with SSS, and it has been suggested that any possible trend toward higher survival rates in pacemaker treated SSS might be cancelled by the untoward effects of VVI pacing.
Early Complications After Dual Chamber Versus Single Chamber Pacemaker Implantation
The early complications in the DDD group were higher than in the VVI group (8.7% vs 2.9%, P < 0.05), being mainly due to an increased incidence of wound infection and atrial lead displacement.
Reliability of Atrial Screw‐in Leads
The carbon coated atrial screw‐in lead is considered to have proven long‐term reliability and excellent threshold results in 76% of the patients permitting a safety programming al half of nominal value.
Pacing in Atrial Arrhythmias
  • R. Sutton
  • Medicine
    Pacing and clinical electrophysiology : PACE
  • 1990
The history of pacing to control the atrial arrhythmias of sinoatrial node disease (SND) is reviewed and is demonstrated to have become more physiological in recent years.