scholarly journals Permanent pacemaker implantation in unexplained syncope patients with borderline sinus bradycardia and electrophysiology study‐proven sinus node disease

2020 ◽  
Author(s):  
Ioannis Doundoulakis ◽  
Konstantinos A. Gatzoulis ◽  
Petros Arsenos ◽  
Polychronis Dilaveris ◽  
Ioannis Skiadas ◽  
...  
Keyword(s):  
Sinus Bradycardia ◽  
Sinus Node ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Permanent Pacemaker Implantation ◽  
Electrophysiology Study ◽  
Node Disease ◽  
Unexplained Syncope ◽  
Sinus Node Disease

scholarly journals Characteristics, indications and complications in patients undergoing permanent pacemaker implantation: a single centre study

2018 ◽  
Vol 6 (12) ◽  
pp. 4053
Author(s):  
Sanjeev Bhat ◽  
Dharminder Kumar ◽  
Aditi Parimoo
Keyword(s):  
Sinus Node ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Single Chamber ◽  
Common Indication ◽  
Permanent Pacemaker Implantation ◽  
Pacing Mode ◽  
Node Disease ◽  
Sinus Node Disease ◽  
Pacemaker Insertion

Background: To determine the demographic details, indications, type of pacemakers and complications in patients undergoing the permanent pacemaker implantation.Methods: This was a single-center, retrospective study conducted in at a tertiary-care center in India. The records of 200 patients who had undergone implantation of permanent pacemakers in the period of May 2016 to April 2018 were reviewed.Results: Total 200 patients with mean age of 67 years were paced. Of these 120 (60%) were males. The mean duration of hospital stay was 6.5 days. Sinus node disease (105 patients, 52.5%) was the most common indication for permanent pacemaker insertion. Single chamber (VVIR) pacing mode (125 patients, 62.5%) was found to be the most common pacing mode used for pacemaker insertion. Among the 200 patients complications were observed in 8 patients (4%). Of these 8 patients, pneumothorax (4 patients, 2%) was found to be the most common complication for permanent pacemaker implantation followed by local site infection (1 patient, 0.5%). Only 1 patient (0.5%) died during the observation period of the study.Conclusions: Geriatric population with male predominance have observed to commonly undergo permanent pacemaker implantation. Sinus node disease in the elderly patients is the most common indication for cardiac pacing followed by atrioventricular block. Single chamber (VVIR) pacing mode is commonly used followed by dual chamber (DDDR) due to economic reasons in India. Pacemaker implantation is a relatively safe procedure with a low complication rate.

Bradyarrhythmias

2016 ◽  
Author(s):  
Inna Leybell ◽  
Liliya Abrukin
Keyword(s):  
Atrioventricular Block ◽  
Sinus Bradycardia ◽  
Sinus Node ◽  
Treatment Options ◽  
Presenting Symptoms ◽  
Threatening Condition ◽  
Node Disease ◽  
Life Threatening ◽  
Sinus Node Disease ◽  
Sinoatrial Block

Bradyarrhythmias can present as an incidental electrocardiographic (ECG) finding or a life-threatening condition requiring immediate intervention. They are caused by sinus node disease or atrioventricular block. This review covers pathophysiology, stabilization and assessment, diagnosis and treatment options, and disposition and outcomes for patients with bradycardia. Figures in the review demonstrate characteristic ECG tracings. Tables list classifications of sinus node dysfunction as well as of sinoatrial and atrioventricular blocks, presenting symptoms, important information to elicit on history taking, various causes of bradycardia, and specific interventions for toxicologic etiologies. Key words: atrioventricular block, atropine, bradyarrhythmia, bradycardia, first-degree atrioventricular block, second-degree atrioventricular block, sinoatrial block, sinus bradycardia, sinus node disease, tachycardia-bradycardia syndrome, third-degree atrioventricular block This review contains 9 highly rendered figures, 7 tables, and 92 references.

scholarly journals Reduction of falls and fractures after permanent pacemaker implantation in elderly patients with sinus node dysfunction

EP Europace ◽  
2016 ◽  
Vol 19 (7) ◽  
pp. 1220-1226 ◽  
Author(s):  
Roman Brenner ◽  
Peter Ammann ◽  
See-Il Yoon ◽  
Stefan Christen ◽  
Jens Hellermann ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Sinus Node ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Sinus Node Dysfunction ◽  
Permanent Pacemaker Implantation

scholarly journals Corrigendum to “Falls and Fractures in the Elderly with Sinus Node Disease: The Impact of Pacemaker Implantation”

2017 ◽  
Vol 2017 ◽  
pp. 1-1
Author(s):  
Nazmi Krasniqi ◽  
Diana Segalada ◽  
Thomas F. Lüscher ◽  
Kurt Lippuner ◽  
Laurent Haegeli ◽  
...  
Keyword(s):  
Sinus Node ◽  
Pacemaker Implantation ◽  
The Elderly ◽  
Node Disease ◽  
Sinus Node Disease ◽  
The Impact

scholarly journals Permanent pacemaker implantation in unexplained syncope patients with electrophysiology study-proven atrioventricular node disease

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
I Doundoulakis ◽  
KA Gatzoulis ◽  
P Arsenos ◽  
P Dilaveris ◽  
D Tsiachris ◽  
...  
Keyword(s):  
Pacemaker Implantation ◽  
Atrioventricular Node ◽  
Initial Assessment ◽  
Funding Sources ◽  
Permanent Pacing ◽  
Electrophysiology Study ◽  
Node Disease ◽  
History Of ◽  
Unexplained Syncope

Abstract Funding Acknowledgements Type of funding sources: None. Background/Introduction: Syncope, whose cause is unknown after an initial assessment, has an uncertain prognosis. It is critical to identify patients at highest risk who may require a pacemaker and to identify the cause of recurrent syncope to prescribe proper therapy Purpose Aim of this study was to evaluate the effect of permanent pacing on the incidence of syncope in patients with unexplained syncope and electrophysiology study-proven atrioventricular node disease. Methods This was an observational study based on a prospective registry of 236 consecutive patients (60.20 ± 18.66 years, 63.1% male, 60.04 ± 9.50 bpm) presenting with recurrent unexplained syncope attacks admitted to our hospital for invasive electrophysiology study (EPS). Τhe implantation of a permanent antibradycardia pacemaker (ABP) was offered to all patients according to the results of the EPS. 135 patients received the ABP, while 101 denied. Results The mean of reported syncope episodes was 1.97 ± 1.10 (or presyncope 2.17 ± 1.50) before they were referred for a combined EP guided diagnostic and therapeutic approach. Over a mean follow-up of approximately 4 years (49.19 ±  29.58 months), the primary outcome event (syncope) occurred in 31 of 236 patients (13.1%), 6 of 135 (4.4%) in the ABP group as compared to 25 of 101 (24.8%) in the no pacemaker group (p < 0.001). Conclusion Among patients with a history of unexplained syncope, a set of positivity criteria for the presence of EPS defined atrioventricular node disease, identifies a subset of patients who will benefit from permanent pacing.

scholarly journals Atrial standstill in sinus node disease due to extensive atrial fibrosis: impact on dual chamber pacemaker implantation

EP Europace ◽  
2015 ◽  
Vol 18 (2) ◽  
pp. 238-245 ◽  
Author(s):  
Barbara Bellmann ◽  
Mattias Roser ◽  
Bogdan Muntean ◽  
Verena Tscholl ◽  
Patrick Nagel ◽  
...  
Keyword(s):  
Sinus Node ◽  
Pacemaker Implantation ◽  
Atrial Fibrosis ◽  
Dual Chamber ◽  
Dual Chamber Pacemaker ◽  
Node Disease ◽  
Sinus Node Disease

Sinus node disease: pathophysiology and natural history

ESC CardioMed ◽  
2018 ◽  
pp. 1945-1949
Author(s):  
Jonathan M. Kalman ◽  
Gwilym M. Morris
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Natural History ◽  
Sinus Node ◽  
Pacemaker Implantation ◽  
Atrial Arrhythmia ◽  
Current Understanding ◽  
Exercise Limitation ◽  
Node Disease ◽  
Sinus Node Disease

Sinus node disease is the commonest bradyarrhythmia, often presenting as syncope or exercise limitation and is an important reason for pacemaker implantation. It is usually idiopathic and a disease of ageing with a peak incidence in the seventh decade of life, but may develop secondary to other conditions including heart failure and chronic endurance exercise. The detailed pathophysiology of sinus node disease remains unknown, studies have found evidence of widespread atrial electrical remodelling, and contemporary research suggests that cellular electrical and fibrotic changes may be important mediators of this remodelling. There is an important association between sinus node disease and atrial fibrillation, and the two arrhythmias often coexist, but the nature of this interaction remains a source of debate. This chapter will summarize the current understanding of the natural history and pathophysiology of sinus node disease, with a focus on remodelling and including discussion of theories that may explain the development of coexistent atrial arrhythmia in these patients.

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