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Optimization of Transesophageal Atrial Pacing to Assess Atrial Fibrillation Susceptibility in Mice
Published on: June 29, 2022
Emerging indications for cardiac pacing
D J Slotwiner1, K M Stein, S M Markowitz
1Department of Medicine, Division of Cardiology, New York Hospital-Cornell University Medical College, New York, New York 10021, USA.
Heart Disease (Hagerstown, Md.)
|April 27, 2002
Summary
Pacemakers are primarily for sinus node dysfunction and heart block, but this review explores new uses. It examines data for conditions like syncope, heart failure, and preventing atrial fibrillation.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Device Technology
Background:
- Established indications for pacemaker implantation include sinus node dysfunction and heart block.
- Emerging evidence suggests broader applications for pacemakers beyond traditional uses.
Purpose of the Study:
- To review current data on novel indications for pacemaker implantation.
- To evaluate the efficacy of pacemakers in conditions such as neurally mediated syncope and heart failure.
- To compare single-chamber versus dual-chamber pacemakers for these new indications.
Main Methods:
- Systematic review of existing literature and clinical data.
- Analysis of studies investigating pacemaker implantation for specific conditions.
- Comparative assessment of pacemaker types.
Main Results:
- Data supports pacemaker use in neurally mediated syncope and hypertrophic obstructive cardiomyopathy.
- Pacemakers show potential benefits in managing congestive heart failure and preventing atrial fibrillation.
- Evidence guides the choice between single-chamber and dual-chamber devices for various indications.
Conclusions:
- Pacemaker implantation is expanding to new clinical scenarios.
- Further research is needed to solidify guidelines for these emerging indications.
- Device selection should be tailored to the specific patient and indication.
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