Clinical Observations with Long‐term Atrial Pacing

@article{Bhm1998ClinicalOW,
  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},
  year={1998},
  volume={21}
}
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… 
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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.
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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.
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