PMID: 15374253Jan 1, 1995Paper

Permanent cardiac pacing and thromboembolic risk in elderly patients

Archives of Gerontology and Geriatrics
G SaccomannoE Paciaroni

Abstract

In patients undergoing permanent cardiac pacing, the maintenance of atrial contractility is important to ensure adequate ventricular filling and to guarantee an optimal ventricular ejection capacity. The appropriate pacing mode, assuring a suitable mechanical atrioventricular coupling, prevents the onset of atrial fibrillation and contributes to reduction of the risk of subsequent systemic and pulmonary thromboembolic episodes. We examined 461 patients (266 males and 195 females, aged between 52 and 97 years, average age 76.5 +/- 18) paced for conduction disturbances of various degrees and etiology. Of them, 323 patients received ventricular demand pacemaker (VVI group, average age 77.9 years); 138 underwent dual chamber pacing (DCP group, average age 75.2 years), 117 of the latter received universal demand pacing (DDD) and 21 atrial synchronous ventricular demand pacing (VDD). The patients were subsequently divided into two age-groups: Group A (</= 75 years, 174 patients), and Group B (>/= 75 years, 287 patients). According to pacing mode and successive development of stable atrial fibrillation (AF), we analysed the occurrence of systemic and/or pulmonary thromboembolic episodes and the incidence of fatal events. During our st...Continue Reading

References

May 1, 1979·Pacing and Clinical Electrophysiology : PACE·A B Simon, A E Zloto
Jul 22, 1976·The New England Journal of Medicine·A J FairfaxA Leatham
Jun 1, 1990·Pacing and Clinical Electrophysiology : PACE·A J Camm, D Katritsis
Dec 1, 1990·Pacing and Clinical Electrophysiology : PACE·R Sutton
Nov 1, 1986·Pacing and Clinical Electrophysiology : PACE·R Sutton, R A Kenny
Jun 1, 1989·Pacing and Clinical Electrophysiology : PACE·A KallrydL Rydén

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Citations

Apr 24, 2004·The Cochrane Database of Systematic Reviews·J DretzkeR Taylor

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