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Quality of life in patients with complete heart block and paroxysmal atrial tachyarrhythmias: a comparison of permanent DDIR versus DDDR pacing with mode switch to DDIR

Frank Provenier, Hedwig Boudrez UGent, Jean Claude Deharo, Pierre Djiane and Luc Jordaens UGent (1999) PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY. 22(3). p.462-468
abstract
A prospective double-blind randomized crossover study was done in 15 patients with complete heart block and intermittent ATs. The pacemaker was randomly programmed to dual chamber inhibited rate responsive pacing (DDIR) and to DDDR: with mode switch, for I month each. An event recorder was given to the patients and after each period, a QOL questionnaire was obtained. Based on telemetric data, all but two patients had AT during follow-up. The duration and frequency of these episodes were not related to mode settings. AV synchrony was better preserved in DDDR (P < 0.05). Most symptom-related event recordings during DDIR showed lass of AV synchrony:. DDDR with mode switch caused symptoms due to tracking of ST. Overall the QOL score was not different between the modes. Fen er somatic complaints were noted during DDDR pacing than during baseline. DDIR stimulation showed no difference. Twelve patients preferred the period of DDDR pacing; one experienced severe symptoms during DDIR. In conclusion, patients with paroxysmal AT, DDDR with mode switch, and DDIR had no influence on the occurrence, nor on the duration of AT episodes. Air synchrony was better preserved in DDDR, which was also associated with fewer somatic complaints compared to the baseline. In DDDR, symptoms iz ere observed when ST was tracked. QOL was comparable, although more patients preferred DDDR.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
atrial fibrillation, ablation, dual chamber pacing, mode switching, quality of life, rate responsive pacing, SICK-SINUS SYNDROME, FIBRILLATION, ALGORITHM, MANAGEMENT, PROGNOSIS, ABLATION, DISEASE
journal title
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
PACE-Pacing Clin. Electrophysiol.
volume
22
issue
3
pages
462 - 468
Web of Science type
Article
Web of Science id
000079253200008
ISSN
0147-8389
DOI
10.1111/j.1540-8159.1999.tb00474.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
173497
handle
http://hdl.handle.net/1854/LU-173497
date created
2004-01-14 13:40:00
date last changed
2016-12-19 15:38:41
@article{173497,
  abstract     = {A prospective double-blind randomized crossover study was done in 15 patients with complete heart block and intermittent ATs. The pacemaker was randomly programmed to dual chamber inhibited rate responsive pacing (DDIR) and to DDDR: with mode switch, for I month each. An event recorder was given to the patients and after each period, a QOL questionnaire was obtained. Based on telemetric data, all but two patients had AT during follow-up. The duration and frequency of these episodes were not related to mode settings. AV synchrony was better preserved in DDDR (P {\textlangle} 0.05). Most symptom-related event recordings during DDIR showed lass of AV synchrony:. DDDR with mode switch caused symptoms due to tracking of ST. Overall the QOL score was not different between the modes. Fen er somatic complaints were noted during DDDR pacing than during baseline. DDIR stimulation showed no difference. Twelve patients preferred the period of DDDR pacing; one experienced severe symptoms during DDIR. In conclusion, patients with paroxysmal AT, DDDR with mode switch, and DDIR had no influence on the occurrence, nor on the duration of AT episodes. Air synchrony was better preserved in DDDR, which was also associated with fewer somatic complaints compared to the baseline. In DDDR, symptoms iz ere observed when ST was tracked. QOL was comparable, although more patients preferred DDDR.},
  author       = {Provenier, Frank and Boudrez, Hedwig and Deharo, Jean Claude and Djiane, Pierre and Jordaens, Luc},
  issn         = {0147-8389},
  journal      = {PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY},
  keyword      = {atrial fibrillation,ablation,dual chamber pacing,mode switching,quality of life,rate responsive pacing,SICK-SINUS SYNDROME,FIBRILLATION,ALGORITHM,MANAGEMENT,PROGNOSIS,ABLATION,DISEASE},
  language     = {eng},
  number       = {3},
  pages        = {462--468},
  title        = {Quality of life in patients with complete heart block and paroxysmal atrial tachyarrhythmias: a comparison of permanent DDIR versus DDDR pacing with mode switch to DDIR},
  url          = {http://dx.doi.org/10.1111/j.1540-8159.1999.tb00474.x},
  volume       = {22},
  year         = {1999},
}

Chicago
Provenier, Frank, Hedwig Boudrez, Jean Claude Deharo, Pierre Djiane, and Luc Jordaens. 1999. “Quality of Life in Patients with Complete Heart Block and Paroxysmal Atrial Tachyarrhythmias: a Comparison of Permanent DDIR Versus DDDR Pacing with Mode Switch to DDIR.” Pace-pacing and Clinical Electrophysiology 22 (3): 462–468.
APA
Provenier, F., Boudrez, H., Deharo, J. C., Djiane, P., & Jordaens, L. (1999). Quality of life in patients with complete heart block and paroxysmal atrial tachyarrhythmias: a comparison of permanent DDIR versus DDDR pacing with mode switch to DDIR. PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 22(3), 462–468.
Vancouver
1.
Provenier F, Boudrez H, Deharo JC, Djiane P, Jordaens L. Quality of life in patients with complete heart block and paroxysmal atrial tachyarrhythmias: a comparison of permanent DDIR versus DDDR pacing with mode switch to DDIR. PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY. 1999;22(3):462–8.
MLA
Provenier, Frank, Hedwig Boudrez, Jean Claude Deharo, et al. “Quality of Life in Patients with Complete Heart Block and Paroxysmal Atrial Tachyarrhythmias: a Comparison of Permanent DDIR Versus DDDR Pacing with Mode Switch to DDIR.” PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY 22.3 (1999): 462–468. Print.