Document Detail


Clinical predictors and natural history of atrial fibrillation in patients with DDD pacemakers.
MedLine Citation:
PMID:  1704549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Effective DDD pacing requires that patients remain free of atrial fibrillation (AF). Four hundred eighty-nine consecutive patients undergoing initial transvenous DDD implants were reviewed to determine the incidence of postimplant AF in this population and to assess what factors, known at implant, predicted the later development of AF. The variables analyzed included age, sex, indication for implant (dominant SA or AV node disease), history of AF, atrial electrogram characteristics and pacing threshold, and the status of retrograde conduction. Forty-eight patients (9.8%) developed AF a mean of 23 months postimplant, and 11 of these patients returned to sinus rhythm and were managed once again in DDD for significant periods. A prior history of AF and the presence of dominant sinoatrial disease were far more prevalent in the patients who developed AF (P less than 0.001) though the vast majority of patients with these two independent risk factors remained in sinus rhythm through much or all of their follow-up period. We conclude that the incidence of AF is not of a magnitude to preclude DDD pacing in the vast majority of patients in sinus rhythm at implant.
Authors:
J Gross; S Moser; Z M Benedek; C Andrews; S Furman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  13     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-03-19     Completed Date:  1991-03-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1828-31     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Montefiore Medical Center, Bronx, New York 10467.
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MeSH Terms
Descriptor/Qualifier:
Aged
Arrhythmias, Cardiac / epidemiology,  physiopathology,  therapy
Atrial Fibrillation / epidemiology*,  physiopathology
Atrioventricular Node / physiopathology
Cardiac Pacing, Artificial / adverse effects*,  methods
Female
Follow-Up Studies
Humans
Incidence
Male
New York / epidemiology
Pacemaker, Artificial
Probability
Risk Factors
Sinoatrial Node / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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