Adaptive bi-atrial pacing improves the maintenance of sinus rhythm

被引:1
作者
Bacik, Bradley M. [1 ]
Muller, David [1 ]
Corbisiero, Raffaele [1 ]
机构
[1] Deborah Heart & Lung Ctr, Dept Cardiol, Electrophysiol Div, Browns Mills, NJ 08015 USA
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2007年 / 30卷 / 04期
关键词
atrial fibrillation; bi-atrial pacing; adaptive pacing;
D O I
10.1111/j.1540-8159.2007.00698.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Multiple pacing modalities have been shown to individually decrease atrial fibrillation (AF) burden and relieve symptoms of AF. This investigation retrospectively evaluated whether a combination of bi-atrial pacing with dynamic atrial overdrive (DAO) AF suppression would further decrease AF burden as compared to AF suppression (DAO) alone. Methods and Results: A total of 33 patients were retrospectively evaluated. Patients (n = 16) were identified from the Deborah Heart and Lung Center pacemaker database with DAO programmed on at time of implantation. Patients (n = 17) were identified with bi-atrial pacing leads in right atrium and mid to distal coronary sinus who also had DAO programmed on at the time of implant. Evaluation of interrogated pacing data revealed Percent Time in Mode Switch (18.2% +/- 7.2% vs 0.59% +/- 0.08%) to be significantly lower (P = 0.014) in the bi-atrial paced group. In addition, there were less mode switches per day (MSPD) in the bi-atrial paced group (0.62 +/- 0.43 MSPD) versus control (4.40 +/- 3.24 MSPD) (P = 0.06). Conclusion: Bi-atrial pacing while used in conjunction with an adaptive pacing suppression algorithm (DAO) may successfully be used to inhibit PAF.
引用
收藏
页码:492 / 497
页数:6
相关论文
共 26 条
  • [1] PROSPECTIVE RANDOMIZED TRIAL OF ATRIAL VERSUS VENTRICULAR PACING IN SICK-SINUS SYNDROME
    ANDERSEN, HR
    THUESEN, L
    BAGGER, JP
    VESTERLUND, T
    THOMSEN, PEB
    [J]. LANCET, 1994, 344 (8936) : 1523 - 1528
  • [2] Long-term follow-up of patients from a randomised trial of atrial versus ventricular pacing for sick-sinus syndrome
    Andersen, HR
    Nielsen, JC
    Thomsen, PEB
    Thuesen, L
    Mortensen, PT
    Vesterlund, T
    Pedersen, AK
    [J]. LANCET, 1997, 350 (9086) : 1210 - 1216
  • [3] Prevention of chronic atrial fibrillation by pacing in the region of Bachmann's bundle: Results of a multicenter randomized trial
    Bailin, SJ
    Adler, S
    Giudici, M
    [J]. JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2001, 12 (08) : 912 - 917
  • [4] A new pacemaker algorithm for the treatment of atrial fibrillation - Results of the Atrial Dynamic Overdrive Pacing Trial (ADOPT)
    Carlson, MD
    Ip, J
    Messenger, J
    Beau, S
    Kalbfleisch, S
    Gervais, P
    Cameron, DA
    Duran, A
    Val-Mejias, J
    Mackall, J
    Gold, M
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 42 (04) : 627 - 633
  • [5] CARLSSON J, 2000, PACING CLIN ELECTROP, V2, P903
  • [6] EFFICACY AND SAFETY OF QUINIDINE THERAPY FOR MAINTENANCE OF SINUS RHYTHM AFTER CARDIOVERSION - A METAANALYSIS OF RANDOMIZED CONTROL TRIALS
    COPLEN, SE
    ANTMAN, EM
    BERLIN, JA
    HEWITT, P
    CHALMERS, TC
    [J]. CIRCULATION, 1990, 82 (04) : 1106 - 1116
  • [7] INTERATRIAL CONDUCTION BLOCK AND RETROGRADE ACTIVATION OF THE LEFT ATRIUM AND PAROXYSMAL SUPRAVENTRICULAR TACHYARRHYTHMIA
    DELUNA, AB
    CLADELLAS, M
    OTER, R
    TORNER, P
    GUINDO, J
    MARTI, V
    RIVERA, I
    ITURRALDE, P
    [J]. EUROPEAN HEART JOURNAL, 1988, 9 (10) : 1112 - 1118
  • [8] PROARRHYTHMIA IN PATIENTS TREATED FOR ATRIAL-FIBRILLATION OR FLUTTER
    FALK, RH
    [J]. ANNALS OF INTERNAL MEDICINE, 1992, 117 (02) : 141 - 150
  • [9] Funck RC, 2000, PACE, V23, P1891
  • [10] *HLTH RES INT, 2002, HRI0551US1002