| Long-term follow-up of patients treated with VVI pacing and sequential pacing with special reference to VA retrograde conduction. | |
| | |
MedLine Citation:
|
PMID: 2463568 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The aim of this prospective study is comparing long-term prognosis in patients implanted with a VVI pacemaker (group A) with those implanted with a sequential pacing device, AAI or DDD, (group B). Both groups of 45 patients each, were comparable as regards to age, sex, pacing indications, underlying heart disease, and technical conditions of implantation and were followed-up over 55 months. Atrial arrhythmias (A.A.) incidence was higher in group A: 24.4% than group B: 8.8% (P less than 0.05). Arterial embolisms (A.E.) occurred in group A patients only. Worsening or occurrence of exercise limitation was more frequent in group A: 35.6% as compared to group B: 13.3% (P less than 0.05) and deaths related to these complications, occurred in seven cases in group A versus four cases in group B. In group A, all patients who experienced a worsening or occurrence of an A.A. or an A.E., had a ventriculoatrial conduction (VAC). No statistical difference was observed in worsening or occurrence of exercise limitation between patients with VAC and those without VAC: nine (42.8%) and seven (29.2%) but they respectively experienced at least one complication in 16 cases (76.2%) and seven cases (29.2%) (P less than 0.01). In conclusion, long-term prognosis in patients implanted with VVI pacing as compared to patients implanted with sequential pacing is poorer. The presence of VAC in patients treated with permanent VVI pacing is a major factor for complications and deaths related to A.E. and cardiac failure. Thus VVI pacing should be avoided in patients with VAC. |
| | |
Authors:
|
A Ebagosti; M Gueunoun; A Saadjian; E Dolla; M Gabriel; S Levy; J Torresani |
Related Documents
:
|
16969878 - Transcatheter closure of perimembranous ventricular septal defects using the amplatzer ... 17976448 - Dual-chamber epicardial pacing in neonates with congenital heart block. 6681528 - Surgical management of subaortic stenosis. 9856928 - Transcatheter closure of atrial septal defect and patent foramen ovale with asdos devic... 23181618 - Effect of electroacupuncture in postanesthetic shivering during regional anesthesia: a ... 12542508 - Surgical prognosis in hindbrain related syringomyelia. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Pacing and clinical electrophysiology : PACE Volume: 11 ISSN: 0147-8389 ISO Abbreviation: Pacing Clin Electrophysiol Publication Date: 1988 Nov |
Date Detail:
|
Created Date: 1989-02-23 Completed Date: 1989-02-23 Revised Date: 2008-11-21 |
Medline Journal Info:
|
Nlm Unique ID: 7803944 Medline TA: Pacing Clin Electrophysiol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1929-34 Citation Subset: IM |
Affiliation:
|
Service de Cardiologie, Chemin des Bourrely, Marseille, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arrhythmias, Cardiac
/
etiology Cardiac Pacing, Artificial / methods* Embolism / etiology Female Follow-Up Studies Humans Male Middle Aged Pacemaker, Artificial* / adverse effects Physical Exertion Prognosis Prospective Studies Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pacemaker-mediated tachycardia: engineering solutions.
Next Document: Pediatric transvenous pacing: a concern for venous thrombosis?