Key result
Permanent pacing in patients with chronic complete atrioventricular block and cardiac failure provided little symptomatic benefit in the absence of syncope, with 11 of 27 patients improving.
Why the study?
Does permanent pacing improve symptoms or survival in patients with chronic complete atrioventricular block complicated by cardiac failure?
Observational (n=27)
Does permanent pacing improve symptoms or survival in patients with chronic complete atrioventricular block complicated by cardiac failure?
Permanent pacing in patients with complete heart block and heart failure offers limited symptomatic benefit in the absence of syncope, but may be justified to prolong survival.
No takes yet. Share an insight, caveat, or question.
Caution against pacing solely for symptoms without syncope; leaves open survival effects in this observational cohort.
Hetzel et al. (1978) conducted an observational in Chronic complete atrioventricular block complicated by cardiac failure (n=27). Permanent pacing was evaluated on Hemodynamic and clinical improvement or death. Permanent pacing in patients with chronic complete atrioventricular block and cardiac failure provided little symptomatic benefit in the absence of syncope, with 11 of 27 patients improving.
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