Long-term progression of rhythm and conduction disturbances in pacemaker recipients: findings from the Pacemaker Expert Programming study

Journal of Cardiovascular Medicine
Pietro PalmisanoItalian Association of Arrhythmology, Cardiac Pacing (AIAC)

Abstract

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. This multicentre, observational study enrolled 1810 pacemaker patients (age 71.6 ± 13.3 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. 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 impla...Continue Reading

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Citations

May 3, 2019·Journal of Cardiovascular Medicine·Giuseppe Boriani, Marco Vitolo
Nov 10, 2020·International Journal of Clinical Practice·Giuseppe BorianiMauro Biffi
Jan 20, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Pietro PalmisanoUNKNOWN of the Italian Association of Arrhythmology and Cardiac Pacing
Jul 10, 2021·Pacing and Clinical Electrophysiology : PACE·Zaki AkhtarMark M Gallagher

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