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Atrial arrhythmias in dual chamber pacing and their influence on long-term mortality

Author
Organization
Abstract
A retrospective study of 252 patients who received a DDD pacemaker between October 1982 and December 1990 was performed. During a mean follow-up of 30 months, reprogramming to the VVI mode was necessary in 39 patients (15.5%). Technical problems causing downgrading occurred 15 times, of which 13 problems became permanent. A total number of 24 patients had sustained atrial arrhythmias, including 14 with atrial fibrillation and 10 with atrial flutter. In this group, conversion to sinus rhythm could be obtained in 38%. After 2 years, reliable DDD pacing was maintained in 86% of the surviving patients. The survival after 1 and 2 years was 94% and 89%, respectively, and was not influenced by arrhythmias or technical problems. We conclude that atrial arrhythmias including flutter are the most important reasons for reprogramming to the VVI mode, although in an important number of patients, predominantly those with flutter, restoration of AV synchrony can be obtained. The high number of patients with atrial flutter could imply some role for DDD devices offering the option of antitachycardia pacing. Reprogramming of the pacing mode did not influence mortality.
Keywords
FIBRILLATION, PACEMAKERS, SINUS NODE DISEASE, MORTALITY, DUAL CHAMBER PACING, ATRIAL FIBRILLATION, ATRIAL FLUTTER, MORBIDITY, MODE

Citation

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Chicago
Detollenaere, Marc, Etienne Van Wassenhove, and Luc Jordaens. 1992. “Atrial Arrhythmias in Dual Chamber Pacing and Their Influence on Long-term Mortality.” Pace-pacing and Clinical Electrophysiology 15 (11): 1846–1850.
APA
Detollenaere, Marc, Van Wassenhove, E., & Jordaens, L. (1992). Atrial arrhythmias in dual chamber pacing and their influence on long-term mortality. PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 15(11), 1846–1850. Presented at the CARDIOSTIM 92 : Cardiac pacing and electrophysiology.
Vancouver
1.
Detollenaere M, Van Wassenhove E, Jordaens L. Atrial arrhythmias in dual chamber pacing and their influence on long-term mortality. PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY. 1992;15(11):1846–50.
MLA
Detollenaere, Marc, Etienne Van Wassenhove, and Luc Jordaens. “Atrial Arrhythmias in Dual Chamber Pacing and Their Influence on Long-term Mortality.” PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY 15.11 (1992): 1846–1850. Print.
@article{207204,
  abstract     = {A retrospective study of 252 patients who received a DDD pacemaker between October 1982 and December 1990 was performed. During a mean follow-up of 30 months, reprogramming to the VVI mode was necessary in 39 patients (15.5%). Technical problems causing downgrading occurred 15 times, of which 13 problems became permanent. A total number of 24 patients had sustained atrial arrhythmias, including 14 with atrial fibrillation and 10 with atrial flutter. In this group, conversion to sinus rhythm could be obtained in 38%. After 2 years, reliable DDD pacing was maintained in 86% of the surviving patients. The survival after 1 and 2 years was 94% and 89%, respectively, and was not influenced by arrhythmias or technical problems. We conclude that atrial arrhythmias including flutter are the most important reasons for reprogramming to the VVI mode, although in an important number of patients, predominantly those with flutter, restoration of AV synchrony can be obtained. The high number of patients with atrial flutter could imply some role for DDD devices offering the option of antitachycardia pacing. Reprogramming of the pacing mode did not influence mortality.},
  author       = {Detollenaere, Marc and Van Wassenhove, Etienne and Jordaens, Luc},
  issn         = {0147-8389},
  journal      = {PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY},
  keywords     = {FIBRILLATION,PACEMAKERS,SINUS NODE DISEASE,MORTALITY,DUAL CHAMBER PACING,ATRIAL FIBRILLATION,ATRIAL FLUTTER,MORBIDITY,MODE},
  language     = {eng},
  location     = {Nice, France},
  number       = {11},
  pages        = {1846--1850},
  title        = {Atrial arrhythmias in dual chamber pacing and their influence on long-term mortality},
  url          = {http://dx.doi.org/10.1111/j.1540-8159.1992.tb02980.x},
  volume       = {15},
  year         = {1992},
}

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