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August 4, 2006EP Europace

Retrospective analysis of mode survival, reliability of atrial sensing and incidence of atrial tachyarrhythmias in 307 single-lead VDD pacemaker patients

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Key result

Single-lead VDD pacemakers in patients with isolated atrioventricular block were associated with a 65% incidence of atrial tachyarrhythmias over a 10-year period.

Why the study?

Does single-lead VDD pacemaker implantation maintain VDD mode survival and atrial sensing in patients with isolated atrioventricular block?

Population

307 patients with isolated atrioventricular block who had single-lead VDD pacemakers implanted between May…

Design

Cohort

Follow-up

Over a 10-year period

Authors

IZIgor ZupanLjubljana University Medical CentreLLLuka LiparUniversity of Ljubljana
David Žižek
David ŽižekElectrophysiology

Discussion

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Member takes

Overview

High atrial tachyarrhythmia rates may warrant enhanced monitoring with VDD pacemakers; leaves open questions on long-term mode survival in isolated AV block.

Study Design

Type

Observational (n=307)

Structured PICO

Does single-lead VDD pacemaker implantation maintain VDD mode survival and atrial sensing in patients with isolated atrioventricular block?

P
Population
307 patients with isolated atrioventricular block who received single-lead VDD pacemakers, followed over a 10-year period.
E
Exposure
Single-lead VDD pacemakers
O
Outcome
VDD mode survival, development of atrial tachyarrhythmias (AT), and long-term atrial sensing performance

While single-lead VDD pacemakers can be applied without serious complications, they are associated with a high long-term incidence of atrial tachyarrhythmias (65%) in patients with isolated AV block.

Cite This Study

Zupan et al. (2006) conducted an observational in isolated atrioventricular block (n=307). Single-lead VDD pacemakers was evaluated on development of atrial tachyarrhythmias (AT). Single-lead VDD pacemakers in patients with isolated atrioventricular block were associated with a 65% incidence of atrial tachyarrhythmias over a 10-year period.

synapsesocial.com/papers/6a21189b6bd086c0991e4a64https://doi.org/10.1093/europace/eul091
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical results with single lead VDD pacing1997 · 8 citations
  2. 2Single‐Lead VDD Pacing System1990 · 50 citations
  3. 3Development of Atrial Fibrillation in Patients with Atrioventricular Block After Atrioventricular Synchronized Pacing2004 · 19 citations
  4. 4Optimal Pacing for Symptomatic AV Block:2004 · 33 citations
  5. 5Long‐Term Complication Rates in Ventricular, Single Lead VDD, and Dual Chamber Pacing2003 · 106 citations