Despite guideline recommendations, single chamber atrial pacing for sick sinus syndrome without AV block remains underutilized in UK practice.
The British Pacing and Electrophysiology Group guidelines for pacemaker prescription recommend single chamber atrial pacing as the most appropriate pacing mode for sinus node disease in the absence of atrioventricular conduction disturbance. 1 As such it oVers a rare combination of maximum clinical eVectiveness for the minimum cost and a good training opportunity. However, it seems that this message has yet to be translated into pacing practice in the UK.
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Marshall et al. (1998) studied this question.
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