Incidence of atrial tachyarrhythmias in pacemaker patients: results from the Balanced Evaluation of Atrial Tachyarrhythmias in Stimulated patients (BEATS) study

Pacing and Clinical Electrophysiology : PACE
Carsten W IsraelBEATS Study Investigators

Abstract

The prospective Balanced Evaluation of Atrial Tachyarrhythmias in Stimulated patients (BEATS) study compared atrial tachyarrhythmia (AT) detection by means of serial ECG recordings versus device detection. The annual incidence of AT in patients with dual-chamber pacemakers may be significantly underestimated based on ECG and Holter recordings. A DDD(R) device capable of AT-triggered dual-channel electrogram (EGM) storage was implanted in 254 patients (70 +/- 11 years, 159 men) with a class I pacing indication. Patients were seen at 6, 26, and 52 weeks after pacemaker implantation. At all visits, symptoms were checked, surface ECGs were recorded including a 24-hour Holter recording at 6 weeks, and the pacemakers were interrogated. Primary study endpoint was AT documentation by surface ECG/Holter versus stored EGMs. Secondary endpoints consisted of the association between patients' symptoms and AT documentation, and of the AT incidence depending on pacing indication and a history of AT. ATs were documented by ECG/Holter recordings in 37 patients (15%) and by stored EGMs in 137 patients (54%) (P < 0.0001). Symptoms were absent in 108 of 137 patients (79%) with device-documented AT but present in 70 of 117 patients (60%) without AT...Continue Reading

Associated Clinical Trials

References

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Citations

Mar 17, 2010·Herzschrittmachertherapie & Elektrophysiologie·C W Israel
Oct 25, 2006·Expert Opinion on Pharmacotherapy·Piotr RucinskiAndrzej Kutarski
Feb 5, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Chu-Pak LauHung-Fat Tse
Apr 17, 2012·The American Journal of Cardiology·A John CammLuigi Padeletti
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Jan 15, 2009·Pacing and Clinical Electrophysiology : PACE·Gianluca QuirinoS Serge Barold
Apr 26, 2012·Pacing and Clinical Electrophysiology : PACE·Franco GiadaAntonio Raviele
May 26, 2009·American Heart Journal·UNKNOWN RATE Steering Committee, UNKNOWN RATE Investigators
Sep 22, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Bulent GorenekUNKNOWN ESC Scientific Document Group
Mar 16, 2018·Circulation. Arrhythmia and Electrophysiology·Mark N BelkinGaurav A Upadhyay
Jan 12, 2019·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Jiri Plasek, Milos Taborsky
Jan 27, 2019·Cardiovascular Drugs and Therapy·Daniel A HymanYochai Birnbaum
Oct 21, 2020·Herzschrittmachertherapie & Elektrophysiologie·Carsten W IsraelMalik Kalyani

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