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December 1, 1988Pacing and Clinical Electrophysiology

Course of Symptoms and Spontaneous ECG in Pacemaker Patients: A 5‐Year Follow‐up Study

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Why the study?

Does pacemaker implantation improve symptoms and ECG findings in patients with bradyarrhythmias?

Population

308 patients who received a pacemaker for atrioventricular block, sick sinus syndrome, bradyarrhythmic…

Design

Cohort

Follow-up

mean 63 months

Authors

HLH. LangenfeldUniversitätsklinikum WürzburgWGWolfram GrimmPhilipps University of MarburgBMBernhard MaischGeneral Cardiology

Discussion

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Implication

Supports symptom improvement after pacing in bradyarrhythmias; hypothesis-generating for SSS-specific AF risk, needing randomized confirmation.

Structured PICO

Does pacemaker implantation improve symptoms and ECG findings in patients with bradyarrhythmias?

P
Population
308 patients who received a pacemaker for atrioventricular (AV) block (n=115), sick sinus syndrome (SSS, n=107), bradyarrhythmic atrial fibrillation (n=51), carotid sinus syndrome (CSS, n=16), complete bifascicular block associated with 1st degree AV block (n=13), and other indications (n=6)
I
Intervention
Pacemaker implantation
O
Outcome
Course of symptoms and spontaneous ECGpatient reported

Pacemaker implantation improves clinical symptoms in 93% of patients with bradyarrhythmias over a 5-year follow-up, though SSS patients have a higher risk of developing atrial fibrillation compared to those with AV block.

Cite This Study

Langenfeld et al. (1988) studied this question.

synapsesocial.com/papers/6a73827f03e452693a6c38f4https://doi.org/10.1111/j.1540-8159.1988.tb05986.x
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Also Consider

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

  1. 1Programmed Chest‐Wall Stimulation to Evaluate the Progress of A‐V Block After Pacemaker Insertion in Patients with Trifascicular Disease1982 · 1 citations
  2. 2Heart rhythm during permanent cardiac pacing.1979 · 15 citations
  3. 3Natural History of High-Risk Bundle-Branch Block1982 · 318 citations
  4. 4Survival in sinoatrial disorder (sick-sinus syndrome).1980 · 206 citations
  5. 5Systemic Embolism in Chronic Sinoatrial Disorder1976 · 164 citations