Document Detail

Pacing therapy in the elderly.
MedLine Citation:
PMID:  12214169     Owner:  NLM     Status:  MEDLINE    
Bradycardia due to sinus node dysfunction and atrioventricular block is more commonly observed in the elderly. Aging is associated with progressive fibrosis in both the sinus node and atrioventricular conduction system (AV node, His bundle, right and left bundles). In the absence of reversible causes implantation of a permanent pacemaker is often required in the patient with symptomatic bradycardia. For elderly patients with sinus node dysfunction, pacing modes that preserve atrioventricular synchrony are associated with a reduced incidence of atrial fibrillation and improved quality of life. For patients with atrioventricular block, the importance of preserving atrioventricular synchrony in the elderly is controversial and is currently being evaluated.
Fred M Kusumoto; Robert Phillips; Nora Goldschlager
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of geriatric cardiology     Volume:  11     ISSN:  1076-7460     ISO Abbreviation:  Am J Geriatr Cardiol     Publication Date:    2002 Sep-Oct
Date Detail:
Created Date:  2002-09-05     Completed Date:  2002-11-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9215283     Medline TA:  Am J Geriatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305-16     Citation Subset:  IM    
Copyright Information:
Copyright 2002 CVRR, Inc.
Electrophysiology and Pacing Service, Division of Cardiology, Department of Medicine, Lovelace Medical Center, Albuquerque, NM 87108, USA.
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MeSH Terms
Aging / physiology*
Arrhythmia, Sinus / complications*,  physiopathology,  therapy*
Bradycardia / etiology*,  physiopathology,  therapy*
Cardiac Pacing, Artificial*
Heart Block / complications*,  physiopathology,  therapy*
Heart Conduction System / physiopathology*

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