| Effectiveness of triple-site triggered atrial pacing for prevention of atrial fibrillation after coronary artery bypass graft surgery. | |
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MedLine Citation:
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PMID: 16274096 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Recently, several temporary multisite pacing methods have been developed for prevention of postoperative atrial fibrillation (AF). HYPOTHESIS: In this study, we evaluated the effect of triple-site temporary triggered pacing in the AAT mode on the development of AF in patients undergoing coronary artery bypass graft (CABG) at high risk for developing postoperative AF. METHODS: A total of 70 patients undergoing CABG were randomly assigned either to pacing group (study group, n = 35 patients) or to no pacing group (control group, n = 35 patients). The external pacemaker was programmed to pace at the atrial triggered mode at a lower rate of 40 beats/min for 4 days. RESULTS: Atrial fibrillation, defined as lasting > 30 s, occurred in 4 patients (11.4%) in the study group and in 16 patients (45.7%) in the control group (p = 0.003). Sustained AF, defined as AF lasting > 10 min, also was observed less frequently in the study group than in the control group (11.6 vs. 37.1%, p = 0.024). Triple-site triggered atrial pacing was observed to reduce the incidence of AF by 75% and the incidence of sustained AF by 69%. CONCLUSIONS: We believe that multiple-site temporary pacing in the triggered mode is an effective way of preventing postoperative AF. This technique may be used especially in patients at high risk of developing AF. |
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Authors:
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Bülent Ozin; Atilla Sezgin; Ilyas Atar; Oykü Gülmez; Bülent Saritaş; Bahadir Gültekin; Mehmet E Korkmaz; Aylin Yildirir; Sait Aşlamaci; Haldun Müderrisoğlu |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Clinical cardiology Volume: 28 ISSN: 0160-9289 ISO Abbreviation: Clin Cardiol Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2005-11-08 Completed Date: 2006-02-28 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7903272 Medline TA: Clin Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 479-82 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Baskent University Hospital, Ankara, Turkey. bozin@tr.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Atrial Fibrillation / physiopathology, prevention & control* Cardiac Pacing, Artificial* Coronary Artery Bypass* Coronary Artery Disease / therapy Female Heart Atria / pathology, physiopathology Humans Length of Stay Male Middle Aged Pacemaker, Artificial Postoperative Complications / prevention & control* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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