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Pacing therapy in the elderly.

Fred M Kusumoto1, Robert Phillips, Nora Goldschlager

  • 1Electrophysiology and Pacing Service, Division of Cardiology, Department of Medicine, Lovelace Medical Center, Albuquerque, NM 87108, USA.

The American Journal of Geriatric Cardiology
|September 6, 2002
PubMed
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Elderly patients with symptomatic bradycardia often need pacemakers. Pacing that maintains atrioventricular synchrony improves quality of life for those with sinus node dysfunction.

Area of Science:

  • Cardiology
  • Geriatrics
  • Biomedical Engineering

Background:

  • Aging leads to fibrosis in the sinus node and atrioventricular conduction system.
  • Bradycardia from sinus node dysfunction and atrioventricular block is prevalent in the elderly.
  • Symptomatic bradycardia often necessitates permanent pacemaker implantation if reversible causes are absent.

Purpose of the Study:

  • To evaluate the impact of pacing modes on elderly patients with bradycardia.
  • To assess the benefits of preserving atrioventricular synchrony in this population.

Main Methods:

  • Review of clinical outcomes in elderly patients with bradycardia.
  • Analysis of pacing modes and their association with atrial fibrillation and quality of life.
  • Evaluation of the role of atrioventricular synchrony in elderly patients with atrioventricular block.

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Main Results:

  • Pacing modes preserving atrioventricular synchrony reduce atrial fibrillation incidence and improve quality of life in elderly patients with sinus node dysfunction.
  • The significance of preserving atrioventricular synchrony in elderly patients with atrioventricular block is under investigation.

Conclusions:

  • Atrioventricular synchrony preservation is beneficial for elderly patients with sinus node dysfunction.
  • Further research is needed to clarify the role of atrioventricular synchrony in elderly patients with atrioventricular block.