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November 1, 1986Pacing and Clinical Electrophysiology

Is Chronic Atrial Stimulation a Reliable Method for Single Chamber Pacing in Sick Sinus Syndrome?

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Why the study?

Is chronic atrial pacing (AAI) a reliable and safe therapy in patients with sick sinus syndrome?

Population

39 patients with sick sinus syndrome and proven normal AV conduction before pacemaker implantation…

Design

Cohort

Follow-up

mean 53 months (BTS group) and 36 months (BA group)

Authors

EME. Gijs MastSt. Antonius ZiekenhuisNHNorbert M. van HemelUniversity Medical Center UtrechtLBLEX BAKEMASt. Antonius Ziekenhuis

Discussion

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Overview

Supports selective AAI pacing in low-SVT-score SSS with normal AV conduction; hypothesis-generating and requires randomized confirmation.

Structured PICO

Is chronic atrial pacing (AAI) a reliable and safe therapy in patients with sick sinus syndrome?

P
Population
39 patients with sick sinus syndrome (SSS) and proven normal AV conduction before pacemaker implantation, comprising 22 patients with bradytachycardia syndrome (BTS) and 17 patients with only bradyarrhythmias (BA).
I
Intervention
Chronic atrial pacing (AAI)
O
Outcome
Incidence of supraventricular tachycardias (SVT) and occurring AV blockhard clinical

Chronic atrial pacing is a reliable therapy for patients with sick sinus syndrome who have normal AV conduction and a low pre-implantation SVT score.

Cite This Study

Mast et al. (1986) studied this question.

synapsesocial.com/papers/6a9674d3c00de92d9bfbb994https://doi.org/10.1111/j.1540-8159.1986.tb06681.x
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Also Consider

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

  1. 1Associated Conduction Disturbances in Patients with Symptomatic Sinus Node Disease1981 · 36 citations
  2. 2Atrioventricular Conduction Defects in Patients with Sinus Bradycardia1971 · 159 citations
  3. 3Clinical Spectrum of the Sick Sinus Syndrome1972 · 437 citations
  4. 4Clinical experience with transvenous atrial pacing.1978 · 28 citations
  5. 5Current Concepts in Sick Sinus Syndrome1985 · 7 citations