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[A clinical analysis of atrial-ventricular sequential pacing]
Zhonghua Xin Xue Guan Bing Za Zhi
|February 1, 1992
Summary
This study evaluated DDD pacemakers in 41 patients, finding that most complications like undersensing and pacemaker-mediated tachycardia were manageable with external programming. The findings support the efficacy of DDD pacemaker implantation for heart rhythm disorders.
Area of Science:
- Cardiology
- Biomedical Engineering
Context:
- Pacemaker implantation is a common procedure for managing bradyarrhythmias.
- Dual-chamber (DDD) pacemakers offer physiological pacing, but potential complications require careful management.
Purpose:
- To review the clinical experience and outcomes of DDD pacemaker implantation in a cohort of patients.
- To identify and analyze the incidence and management of early complications associated with DDD pacemakers.
Summary:
- Forty-one patients received DDD pacemakers (3 DDDR) between 1983 and 1990, with indications including atrioventricular block and sick sinus syndrome.
- Follow-up revealed complications such as lead displacement (2), undersensing (4), pacemaker-mediated tachycardia (3), and crosstalk (3).
- All identified complications were successfully managed using an external programmer, highlighting the adjustability of DDD pacing systems.
Impact:
- Demonstrates the feasibility and effectiveness of DDD pacemaker implantation in a diverse patient group.
- Provides insights into common early complications and their successful resolution, informing clinical practice.
- Contributes to the understanding of long-term pacemaker management and patient outcomes.