Left Atrial Size and Wall Motion in Patients with Permanent Ventricular and Atrial Pacing
| Autor: | A. Lubinski, Andrzej Stanke, G. Swiatecka, L Stolarczyk, Krasowski R, Grzegorz Raczak, Jacek Kubica, Krzyminska E |
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| Rok vydání: | 1990 |
| Předmět: |
Adult
Male Pacemaker Artificial medicine.medical_specialty Diastole Cardiomegaly Pacemaker syndrome Sick sinus syndrome Left atrial Internal medicine medicine Humans Heart Atria cardiovascular diseases Wall motion Aged Aged 80 and over Sick Sinus Syndrome Atrial pacing business.industry P wave Cardiac Pacing Artificial General Medicine Middle Aged medicine.disease Myocardial Contraction Surgery Echocardiography Heart failure Atrioventricular Node cardiovascular system Cardiology Atrial Function Left Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1540-8159 0147-8389 |
| DOI: | 10.1111/j.1540-8159.1990.tb06882.x |
| Popis: | KUBICA, J., ET AL.: Left Atrial Size and Wall Motion in Patients with Permanent Ventricular and Atrial Pacing. It is well known that during permanent ventricular pacing atrial arrhythmias and embolic complications occur much more frequently in comparison to permanent atrial or sequential pacing. He-modynamic disturbances caused by ventriculoatrial conduction (VAC) are thought to be responsible for those complications. The aim of this study was to compare the left atrial size and its wall motion in three groups of patients with sick sinus syndrome. Group 1: 58 patients with VVI pacing and VAC observed (22 males, 36 females, aged 31–86, mean 62.3). Group 2: 43 patients with primary AAI pacing (13 males, 30 females, aged 27–74, mean 57.8). Group 3: 13 patients with AAI or DDD replacing the primary VVI mode due to pacemaker syndrome and/or heart failure, all with VAC present during VVI pacing (7 males, 6 females, aged 26–80, mean 59.8). Two-dimensional/M-mode echocardiography was performed in all these patients. In group 1 mean diastolic as well as mean systolic atrial diameters were significantly greater (p < 0.005) and wall motion significantly smaller (p < 0.005) in comparison to the other groups. Left atrial wall motion amounted to only 7.4% of the mean diastolic diameter in this group. Mean left atrial diastolic and systolic diameters and wall motion in patients with pacemakers preserving atrioventricular synchrony (group 2 and group 3) were almost identical and wall motion amounted to about 22% of the diastolic diameter in both these groups. We conclude that ventriculoatrial conduction leads to significant enlargement of left atrium and to the atrial wall-motion decrease. This predisposes to arrhythmias and embolic complications. Changes in atrial size and performance seem to be reversible with restoration of the physiological atrioventricular synchrony. |
| Databáze: | OpenAIRE |
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