Key result
Real-world pacemaker programming at discharge follows physiological pacing guidelines in only 41% of patients.
Why the study?
Frequent deviations from guidelines on device-programmed physiological pacing were observed in real-world pacemaker patients, necessitating evaluation of clinical outcomes.
Population
1740 pacemaker patients at 68 centres worldwide
Comparison
Device programming settings at discharge vs guideline recommendations for physiological pacing
Design
Prospective observational study
Follow-up
2 years planned for clinical outcomes
Authors
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Frequent real-world deviations from physiological pacing guidelines occur at discharge; hypothesis-generating for barriers to adherence and effects on outcomes.
Observational (n=1,740)
Yes
Real-world pacemaker programming at discharge frequently deviates from physiological pacing guidelines, with only 41% of patients receiving guideline-concordant settings.
Biffi et al. (2014) conducted an observational in Pacemaker implantation (n=1,740). Device programming settings at discharge vs. Recent guidelines for physiological pacing was evaluated on Adherence to guidelines for device-programmed physiological pacing. Device programming settings at discharge followed guidelines for physiological pacing in only 41% of pacemaker patients, highlighting frequent deviations in real-world clinical practice.