Key result
Atrial pacing algorithms embedded in pacemakers have not demonstrated unequivocal clinical efficacy for preventing atrial fibrillation to support guideline recommendations.
Why the study?
Do atrial pacing algorithms prevent atrial fibrillation in patients requiring pacemaker implantation?
Do atrial pacing algorithms prevent atrial fibrillation in patients requiring pacemaker implantation?
Current evidence does not support the routine use of atrial pacing algorithms for the prevention of atrial fibrillation in patients requiring pacemakers.
Challenges guidelines recommending atrial pacing algorithms; leaves open efficacy questions for targeted future trials.
Since the development of an atrial pacing algorithm for preventing atrial fibrillation (AF), approximately 20 years ago, many clinical trials have demonstrated the effectiveness of atrial pacing with respect to AF prevention. Nevertheless, the actual effectiveness of AF suppression via atrial pacing remains under debate, and no definitive conclusion has been reached. The AF suppression algorithms embedded in pacemakers have not demonstrated an unequivocal clinical efficacy that would support changing of the guidelines to recommend such algorithms. In this review of studies conducted since 2006, we discuss the efficacies of these AF suppression algorithms and their usefulness in patients requiring pacemaker implantation.
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Nakai et al. (2014) conducted a review in Atrial fibrillation. Atrial pacing algorithms was evaluated on Atrial fibrillation prevention. Atrial pacing algorithms embedded in pacemakers have not demonstrated unequivocal clinical efficacy for preventing atrial fibrillation to support guideline recommendations.
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