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March 1, 1991Pacing and Clinical Electrophysiology

A Multicenter Evaluation of a Single‐Pass Lead VDD Pacing System

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Key result

A single-pass lead VDD pacing system achieved an atrial synchronization ratio of ≥98% in at least 95% of patients with symptomatic AV conduction disturbances over a mean follow-up of 385 days.

Why the study?

Does a single-pass lead VDD pacing system provide reliable atrial synchronization in patients with symptomatic AV conduction disturbances and competent sinus node?

Population

237 patients with symptomatic AV conduction disturbances and competent sinus node

Design

Cohort

Follow-up

Mean 385 days (range 183-1,370 days)

Authors

GCG CurzioOspedale Monaldi

Discussion

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Overview

Single-pass VDD leads showed early feasibility in AV block; leaves open long-term sensing reliability versus dual-chamber systems.

Study Design

Type

Observational (n=237)

Multicenter

Yes

Structured PICO

Does a single-pass lead VDD pacing system provide reliable atrial synchronization in patients with symptomatic AV conduction disturbances and competent sinus node?

P
Population
237 patients (mean age 71, 45.1% female) with symptomatic AV conduction disturbances and competent sinus node, followed for a mean of 385 days.
E
Exposure
Single-pass lead VDD pacing system
O
Outcome
Percentage of atrial synchronization (ratio between atrial triggered ventricular paced complexes and all ventricular paced complexes)surrogate

A single-pass lead VDD pacing system provides highly reliable atrial synchronization in patients with AV block and normal sinus node function.

Cite This Study

G Curzio (1991) conducted an observational in Symptomatic AV conduction disturbances and competent sinus node (n=237). Single-pass lead VDD pacing system was evaluated on Percentage of atrial synchronization (ratio between atrial triggered ventricular paced complexes and all ventricular paced complexes). A single-pass lead VDD pacing system achieved an atrial synchronization ratio of ≥98% in at least 95% of patients with symptomatic AV conduction disturbances over a mean follow-up of 385 days.

synapsesocial.com/papers/6a6b02ca2ef98b0efacb45fbhttps://doi.org/10.1111/j.1540-8159.1991.tb04092.x
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Also Consider

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

  1. 1A comparison of the acute and long-term hemodynamic effects of ventricular inhibited and atrial synchronous ventricular inhibited pacing.1982 · 296 citations
  2. 2Occurrence and Significance of Arrhythmias Associated with Atrial‐Triggered Ventricular Pacing1984 · 11 citations
  3. 3Limitations of Rate Response of an Activity‐Sensing Rate‐Responsive Pacemaker to Different Forms of Activity1988 · 81 citations
  4. 4Comparison of Resting Hemodynamic Indices and Exercise Performance During Atrial Synchronized and Asynchronous Ventricular Pacing1983 · 73 citations
  5. 5HAEMODYNAMIC EFFECT OF ATRIAL TRIGGERED VERSUS FIXED RATE PACING AT REST AND DURING EXERCISE IN COMPLETE HEART BLOCK1975 · 253 citations