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September 4, 2026Heart Rhythm O2Open Access

Long-Term Outcomes of Single Atrial Lead Pacing in Sick Sinus Syndrome: Risk Stratification Using Wenckebach Block Rate

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Authors

ATAiko TakamiMKMasaru KatoFHFumiyasu Hirano

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Overview

Longitudinal study reveals long-term outcomes of single atrial pacing in sick sinus syndrome, suggesting Wenckebach block rate provides reliable risk stratification.

Key Points

  • To assess the long-term clinical safety and efficacy of single atrial lead pacing in sick sinus syndrome using the Wenckebach block rate for atrioventricular block risk stratification.
  • Followed patients diagnosed with sick sinus syndrome treated with single-chamber atrial pacing.
  • Assessed electrophysiological parameters including baseline Wenckebach block rates to stratify the risk of subsequent atrioventricular conduction impairment.
  • Single-lead atrial pacing demonstrated sustained long-term efficacy and low complication rates in properly selected patients.
  • Pre-implantation Wenckebach block rate assessment effectively identified patients at low risk of developing high-grade atrioventricular block.

Cite This Study

Takami et al. (2026) studied this question.

synapsesocial.com/papers/6a9ab3cd5d9e33f25c631f71https://doi.org/10.1016/j.hroo.2026.08.147
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