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March 2, 2022Journal of Cardiovascular Electrophysiology18 citations

A real‐world experience of atrioventricular synchronous pacing with leadless ventricular pacemakers

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Why the study?

What are the characteristics and predictors of achieving adequate atrioventricular synchrony (AsVP ≥ 70%) in patients receiving Micra-AV leadless pacemakers?

Population

56 consecutive patients undergoing Micra-AV leadless pacemaker implants at Mayo Clinic sites in Minnesota…

Comparison

Micra-AV leadless pacemaker implantation vs Patients with atrial synchronous ventricular…

Design

Cohort

Follow-up

minimum 3 months

Key result

In a real-world cohort of patients receiving the Micra-AV leadless pacemaker, 65% achieved adequate atrial synchronous ventricular pacing (≥70%), which was associated with active device troubleshooting.

Authors

GKGurukripa N. KowlgiATAndrew S. TsengNTNathan D. Tempel

Discussion

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Overview

Real-world AsVP success with Micra-AV remains modest and troubleshooting-dependent; leaves open optimal selection criteria pending prospective studies.

Study Design

Type

Cohort (n=56)

Multicenter

Yes

Structured PICO

What are the characteristics and predictors of achieving adequate atrioventricular synchrony (AsVP ≥ 70%) in patients receiving Micra-AV leadless pacemakers?

P
Population
56 consecutive patients undergoing Micra-AV leadless pacemaker implants at Mayo Clinic sites in Minnesota, Florida, and Arizona
I
Intervention
Micra-AV leadless pacemaker implantation
C
Comparator
Patients with atrial synchronous ventricular pacing (AsVP) < 70%
O
Outcome
Percentage of atrial synchronous ventricular pacing (AsVP) achieved (≥ 70%) and causes for suboptimal AV synchronysurrogate

In real-world practice, 65% of patients with Micra-AV leadless pacemakers achieved adequate AV synchrony, with success predicted by lower BMI, absence of heart failure, and active device troubleshooting.

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Cite This Study

Kowlgi et al. (2022) conducted a cohort in Patients undergoing Micra-AV implants (n=56). Micra-AV transcatheter pacing system vs. Patients with AsVP < 70% was evaluated on Achievement of atrial synchronous ventricular pacing (AsVP) ≥ 70%. In a real-world cohort of patients receiving the Micra-AV leadless pacemaker, 65% achieved adequate atrial synchronous ventricular pacing (≥70%), which was associated with active device troubleshooting.

synapsesocial.com/papers/6a10ef9169716c70d0488fe2https://doi.org/10.1111/jce.15430
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