Advances in pacing for the patient with sick sinus syndrome

Current Opinion in Cardiology

Volumn 12, Issue 1, 1997, Pages 3-11

  Alagona Jr , Peter ^a  

^a St Joseph's Heart Institute   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CHRONOTROPISM; COMPUTER; COMPUTER PROGRAM; DEVICE; HEART ELECTROPHYSIOLOGY; HEART PACING; HEMODYNAMICS; HUMAN; PRIORITY JOURNAL; QUALITY OF LIFE; REVIEW; SICK SINUS SYNDROME; SINUS NODE DYSFUNCTION; SUPRAVENTRICULAR TACHYCARDIA; SYMPTOM; UNITED STATES;

EID: 8044249422     PISSN: 02684705     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001573-199701000-00002     Document Type: Review

References (114)

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80. Connolly SJ, Kerr C, Gent M, Yusuf S: Dual-chamber versus ventricular •• pacing: critical appraisal of current data. Circulation 1996, 94:578-583. Most available data comes from retrospective or observational studies. Dual-chamber (atrial-based) pacing in comparison to VVI is associated with decreased incidence of AF and overall mortality along with improved quality-of-life scores and effort tolerance. There are currently three major prospective clinical trials taking place addressing these persistent questions.
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106. Leclercq C, Gras D, Le Helloco A, Nicol L, Mabo P, Daubert C: •• Hemodynamic importance of preserving the normal sequence of ventricular activation in permanent cardiac pacing. Am Heart J 1995, 129:1133-1141. In order to evaluate the relative importance of preserving normal ventricular activation sequence in permanent pacing, 11 patients with DDDR pacers for SSS but with normal conduction were studied. Comparison between AAI, DDD, and VVI pacing at rest and during exercise using invasive monitoring and radionuclide imaging was performed. AAI, with intact conduction, was associated with significantly increased cardiac output, decreased pulmonary capillary wedge pressure, and improved ejection fraction versus DDD with complete ventricular capture as well as VVI. This data indicates the importance of preserving normal ventricular activation whenever possible in permanent cardiac pacing.
107. Gallik, DM, Guidry GW, Mahmarian JJ, Verani MS, Spencer WH: Comparison of ventricular function in atrial rate adaptive versus dual chamber rate adaptive pacing during exercise. PACE Pacing Clin Electrophysiol 1994, 17:179-185.
108. Cowell R, Morris-Thurgood J, Paul V, Ilsley C, Camm AJ: Are we being driven to two sensors?: clinical benefits of sensor cross checking. PACE Pacing Clin Electrophysiol 1993, 16:1441-1444.
109. Cazeau S, Garrigue S, Ritter P, Lazarus A, Gras D, Geroux L, Amblard A, Mugica J: DDD pacing and atrial arrhythmia in sinus node dysfunction: long-term follow-up using the holter function of the device [abstract]. PACE Pacing Clin Electrophysiol 1996, 19:637.
110. Mattioli AV, Rossi R, Annicchiarico E, Mattioli G: Causes of death •• in patients with unipolar single chamber ventricular pacing: prevalence and circumstances in dependence on arrhythmias leading to pacemaker implantation. PACE Pacing Clin Electrophysiol 1995, 18:11-17. There were 378 deaths in 2243 paced patients over a 5-year follow-up period. Sudden cardiac death accounted for 71 (18.7%), cerebrovascular accident for 56 (15%), congestive heart failure for 91 (24%), and (new) atrial fibrillation for 28 (8%). Sudden death was more often associated with patients paced for atrioventricular block, whereas the other three causes occurred more frequently in those with SSS.
111. Dimarco JP: Cardiac electrophysiology: a cost-effective approach. Clin Cardiol 1996, 19:575-578. Clinical electrophysiology, including permanent pacing, is one of the most technology-driven areas in cardiology. This paper discusses the use of cost-effectiveness strategies in treating patients requiring sophisticated procedures and devices.
112. Markewitz A, Kronski D, Kammeyer A, Kaulbach H, Weinhold C, Doering W, Reichart B: Adequate pulse generator selection increases cost-effectiveness in pacemaker therapy [abstract]. PACE Pacing Clin Electrophysiol 1993, 16:882.
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