Long-term progression of rhythm and conduction disturbances in pacemaker recipients
| Autor: | Matteo Ziacchi, Michele Accogli, Giuseppe Boriani, Giampiero Maglia, Pietro Palmisano, Ernesto Ammendola, Alessandro Capucci, Eraldo Occhetta, Vittorio Aspromonte, Gerardo Nigro, Gabriele Dell'Era, Renato Pietro Ricci, Mauro Biffi, Federico Guerra |
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| Přispěvatelé: | Palmisano, P., Ziacchi, M., Ammendola, E., Dellera, G., Guerra, F., Aspromonte, V., Boriani, G., Nigro, G., Occhetta, E., Capucci, A., Ricci, R. P., Maglia, G., Biffi, M., Accogli, M. |
| Rok vydání: | 2018 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Cardiac pacing MEDLINE Kaplan-Meier Estimate sinus node disease 030204 cardiovascular system & hematology Pacemaker implantation 03 medical and health sciences 0302 clinical medicine Rhythm Risk Factors Internal medicine Atrial Fibrillation medicine Humans 030212 general & internal medicine Atrioventricular Block Aged Aged 80 and over Sick Sinus Syndrome bradyarrhythmia permanent pacing business.industry Risk Factor Disease progression Cardiac Pacing Artificial General Medicine Middle Aged pacemaker Term (time) Treatment Outcome Italy Multicenter study chronic bifascicular block syncope Disease Progression Cardiology Female Observational study rhythm disorder Cardiology and Cardiovascular Medicine business Human |
| Zdroj: | Journal of Cardiovascular Medicine. 19:357-365 |
| ISSN: | 1558-2027 |
| Popis: | Aims Knowledge of the long-term progression of rhythm disorders requiring pacemaker implantation could have significant implications for the choice of device and its management during follow-up. Accordingly, we conducted an observational study to analyse the long-term progression of rhythm disorders requiring pacemaker implantation. Methods This multicentre, observational study enrolled 1810 pacemaker patients (age 71.6W13.3 years, men 53.8%) consecutively evaluated during scheduled pacemaker follow-up visits. To evaluate the long-term progression of rhythm disorders, we analysed the patient's rhythm disorders at the time of device implantation and during follow-up. After pacemaker implantation, the rhythm disorders were reassessed and recorded at each scheduled pacemaker follow-up visit, and the spontaneous rhythm was analysed during pacemaker interrogation. Results During a median follow-up of 61.6 months, we observed a progression of the primary rhythm disorder in 295 patients (16.3%; worsening of the preexisting rhythm disorder in 7.7%; occurrence of a new rhythm disorder added to the preexisting one in 8.6%). Specifically, the cumulative per-year risks of developing the following disorders were: Atrioventricular block (AVB) in patients implanted for sinus node disease (SND), 0.3%; permanent atrial fibrillation in SND patients, 2.9%; SND in AVB patients, 0.7%; and persistent AVB in patients implanted for chronic bifascicular block 3.0%. Conclusion Our results revealed that rhythm disorders requiring pacemaker implantation show long-term progression in a significant number of cases. In many cases, the progression is substantial and may require a change in pacing mode. |
| Databáze: | OpenAIRE |
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