Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Device-based therapies for atrial fibrillation.

Gregory K Bruce1, Paul A Friedman

  • 1Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905, USA.

Current Treatment Options in Cardiovascular Medicine
|September 6, 2005
PubMed
Summary

Minimizing right ventricular pacing is crucial for patients with atrial fibrillation (AF) undergoing pacemaker implantation. Physiologic pacing strategies, particularly atrial pacing, may reduce AF recurrence and improve outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Author Correction: Artificial intelligence guided screening for cardiomyopathies in an obstetric population: a pragmatic randomized clinical trial.

Nature medicine·2025
Same author

Artificial intelligence and mortality prediction in acute coronary syndromes.

European heart journal·2025
Same author

Deep Neural Network Analysis of the 12-Lead Electrocardiogram Distinguishes Patients With Congenital Long QT Syndrome From Patients With Acquired QT Prolongation.

Mayo Clinic proceedings·2025
Same author

Triggers and substrate: The whole is more than the sum of its parts-A case of implantable cardioverter-defibrillator shock induced with echocardiography.

HeartRhythm case reports·2024
Same author

Using Electrocardiogram to Assess Diastolic Function and Prognosis in Mitral Regurgitation.

Journal of the American College of Cardiology·2024
Same author

Automated Assessment of Left Ventricular Filling Pressures From Coronary Angiograms With Video-Based Deep Learning Algorithms.

JACC. Cardiovascular interventions·2024

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Atrial fibrillation (AF) management often involves pacemaker implantation when medications fail.
  • Right ventricular (RV) pacing can be detrimental, potentially increasing AF, heart failure, and mortality.
  • Physiologic pacing, minimizing RV pacing, is desirable for better patient outcomes.

Purpose of the Study:

  • To review current strategies for pacemaker selection and programming in patients with AF.
  • To evaluate the efficacy of different pacing modalities in preventing AF and improving clinical endpoints.
  • To discuss the role of device therapy in AF management.

Main Methods:

  • Review of existing literature on pacing therapies for atrial fibrillation.
  • Analysis of studies comparing right ventricular, biventricular, and atrial pacing.

Related Experiment Videos

  • Evaluation of device-based therapies like atrial antitachycardia pacing.

    • Main Results:

    • Atrial-based pacing is superior to ventricular pacing in sick sinus syndrome, reducing AF development.
    • Excessive RV pacing is linked to adverse outcomes; minimizing it is beneficial.
    • Atrial pacing algorithms show modest efficacy in AF prevention; specific postoperative interventions show promise.
    • Device therapy for AF termination is effective in reducing arrhythmia burden, but clinical benefits are not fully established.

    Conclusions:

    • Physiologic pacing, prioritizing atrial pacing and minimizing RV pacing, is recommended for AF patients.
    • Atrial pacing algorithms are reasonable for selected patients aiming to maintain sinus rhythm.
    • Further research is needed to define the role and indications for device-based AF therapies.