Key result
This review outlines the current evidence on the pathophysiology, diagnosis, evaluation, and management of patients with asymptomatic bradyarrhythmias.
Why the study?
Evaluation and risk stratification of asymptomatic bradyarrhythmias is increasingly important to prevent unnecessary pacemaker implantation and reduce morbidity from underrecognized systemic disease or symptom progression.
This review summarizes current evidence on the evaluation and management of asymptomatic bradyarrhythmias to prevent unnecessary permanent pacing while identifying cases that require treatment.
May reduce unnecessary pacing in asymptomatic bradyarrhythmias; leaves optimal intervention thresholds open for prospective study.
Asymptomatic bradyarrhythmias involving sinus node dysfunction and atrioventicular blocks are frequently noted in clinical practice. Its prevalence is expected to rise as devices that are developed for monitoring cardiac rhythm for longer duration become more widely available. Episodes of bradyarrhythmia that are asymptomatic are considered to have a benign course compared with those that cause symptoms and do not necessitate further treatment. However, in certain cases, they can be a harbinger of future symptoms or cardiac manifestations of systemic diseases. The evaluation and risk stratification of individuals presenting with asymptomatic bradyarrhythmias is important not only for preventing implantation of unnecessary permanent pacing devices but also for reducing significant morbidity by implementing proper treatment as required. In this article, we will review the current evidence on the pathophysiology, diagnosis, evaluation and management of patients with asymptomatic bradyarrhythmias.
No takes yet. Share an insight, caveat, or question.
Çinier et al. (2020) conducted a review in Asymptomatic bradyarrhythmias. This review outlines the current evidence on the pathophysiology, diagnosis, evaluation, and management of patients with asymptomatic bradyarrhythmias.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: