Document Detail

Single chamber atrial pacing: an underused and cost-effective pacing modality in sinus node disease.
MedLine Citation:
PMID:  9875119     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the safety and cost effectiveness of single chamber atrial pacing in patients with sinus node disease. DESIGN: Retrospective follow up study. SETTING: Tertiary referral centre. PATIENTS: 81 patients with single chamber atrial pacemakers implanted between 1992 and 1996. MAIN OUTCOME MEASURES: The development of high grade atrioventricular block resulting in a further pacemaker procedure. The cost savings of changing our current pacing practice to conform with British Pacing and Electrophysiology Group guidelines. RESULTS: During the follow up period, four patients (5.8%) required a further procedure to upgrade their atrial pacemaker to a dual chamber system owing to the development of high grade atrioventricular block. In 1995 and 1996, 343 pacemakers were implanted in patients with sinus node disease; 19 (5.5%) received single chamber atrial pacemakers and 271 (79%) dual chamber pacemakers. If the current pacing practice was changed so that all patients received single chamber atrial pacemakers, with revision for symptomatic atrioventricular block, savings in excess of 206,000 Pounds would have been made in the two year period. CONCLUSIONS: Atrial pacing in patients with sinus node disease is underused. The need for patients to undergo further procedures owing to the development of atrioventricular block is small and significant cost savings could be made by changing pacemaker practice.
K W Clarke; D T Connelly; R G Charles
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  80     ISSN:  1355-6037     ISO Abbreviation:  Heart     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-13     Completed Date:  1999-01-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  387-9     Citation Subset:  AIM; IM    
Cardiothoracic Centre, Liverpool, UK.
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MeSH Terms
Aged, 80 and over
Cardiac Pacing, Artificial / economics,  methods*
Cost-Benefit Analysis
Follow-Up Studies
Middle Aged
Pacemaker, Artificial
Retrospective Studies
Sinoatrial Block / therapy*
Comment In:
Heart. 1998 Oct;80(4):315-6   [PMID:  9875100 ]

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

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