Minimizing Ventricular Pacing in Sinus-Node Disease

2007 ◽  
Vol 357 (26) ◽  
pp. 2733-2734
Keyword(s):  
Sinus Node ◽  
Ventricular Pacing ◽  
Node Disease ◽  
Sinus Node Disease

Atrial tachyarrhythmias in bradycardia–tachycardia syndrome: characterization and evolution

ESC CardioMed ◽  
2018 ◽  
pp. 1954-1957
Author(s):  
Luigi Padeletti ◽  
Roberto De Ponti
Keyword(s):  
Atrial Fibrillation ◽  
Atrial Flutter ◽  
Sinus Node ◽  
Ventricular Myocardium ◽  
Sinus Node Dysfunction ◽  
Ventricular Pacing ◽  
Atrial Tachyarrhythmia ◽  
Atrial Tachyarrhythmias ◽  
Node Disease ◽  
Sinus Node Disease

The association of sinus node disease and atrial tachyarrhythmias characterizes the bradycardia–tachycardia syndrome, which may result in an increased risk of heart failure, stroke, and death. Ageing and several cardiac and extracardiac diseases, which have the potential to affect both the atrial and the ventricular myocardium, can manifest their influence predominantly on the atria, leading to an atrial cardiomyopathy. In these cases, the same pathological process which leads to sinus node dysfunction can create a favourable substrate also for atrial tachyarrhythmias, which, if not present at the time of the initial diagnosis of the sinus node disease, can occur with an increasing prevalence during follow-up. In younger patients with no evident structural heart disease, a bradycardia–tachycardia syndrome may be the first clinical and unexpected manifestation of a still undiagnosed inherited genetic disease and therefore a specific diagnostic workup is necessary. In bradycardia–tachycardia syndrome, the most frequently encountered atrial tachyarrhythmia is atrial fibrillation, while typical atrial flutter is rarer. In peculiar subgroups of patients, other atrial tachyarrhythmias, such as atypical atrial flutter, macroreentrant or focal atrial tachycardia, may be present. In bradycardia–tachycardia syndrome, the evolution of atrial tachyarrhythmias clearly shows a worsening with an prevalence of associated atrial tachyarrhythmia over time. Pharmacological therapy for arrhythmias is of limited use, due to the concomitant sinus node dysfunction. The modality of pacing used to manage the sinus node disease has to be carefully chosen to minimize the evolution of atrial tachyarrhythmias. In fact, while ventricular pacing increases the incidence of atrial fibrillation and stroke, dual-chamber pacing with a specific algorithm for ventricular pacing minimization and prevention and treatment of atrial tachyarrhythmias reduces a composite endpoint of evolution to permanent atrial fibrillation, hospitalization, and death.

Reducing Unnecessary Right Ventricular Pacing with the Managed Ventricular Pacing Mode in Patients with Sinus Node Disease and AV Block

2006 ◽  
Vol 29 (7) ◽  
pp. 697-705 ◽  
Author(s):  
ANNE M. GILLIS ◽  
HELMUT PURERFELLNER ◽  
CARSTEN W. ISRAEL ◽  
HENRI SUNTHORN ◽  
SALEM KACET ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Sinus Node ◽  
Av Block ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
Pacing Mode ◽  
Node Disease ◽  
Sinus Node Disease

Morbidity and Mortality of Patients with Sinus Node Disease: Comparative Effects of Atrial and Ventricular Pacing

1990 ◽  
Vol 13 (12) ◽  
pp. 2076-2079 ◽  
Author(s):  
ROBERTO ZANINI ◽  
ADELE I. FACCHINETTI ◽  
GIOVANNI GALLO ◽  
LIVIO CAZZAMALLI ◽  
LEONARDO BONANDI ◽  
...  
Keyword(s):  
Sinus Node ◽  
Morbidity And Mortality ◽  
Ventricular Pacing ◽  
Node Disease ◽  
Sinus Node Disease

scholarly journals Minimizing right ventricular pacing in patients with sinus node disease and prolonged PQ interval: The impact on exercise capacity

2015 ◽  
Vol 22 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Krystian Krzyżanowski ◽  
Dariusz Michałkiewicz ◽  
Zbigniew Orski ◽  
Robert Wierzbowski ◽  
Robert Ryczek ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Exercise Capacity ◽  
Sinus Node ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
Node Disease ◽  
Sinus Node Disease ◽  
The Impact

scholarly journals Does Reducing Unnecessary Right Ventricular Pacing Improve Sympathetic Activity and Innervation of Heart in Sinus Node Disease Patients?

2012 ◽  
Vol 53 (6) ◽  
pp. 353-358 ◽  
Author(s):  
Mihoko Miyamoto ◽  
Yuichiro Kimura ◽  
Junya Hosoda ◽  
Katsumi Matsumoto ◽  
Kohei Matsushita ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Sympathetic Activity ◽  
Sinus Node ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
Node Disease ◽  
Sinus Node Disease
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