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Titolo:
PACEMAKER THERAPY IN THE SICK SINUS SYNDR OME
Autore:
HOFGARTNER F; MAIER B; EISELE R; HAUBER J; SIGEL H;
Indirizzi:
KLIN EICHERT,MED KLIN 1,EICHERTSTR 3 D-73006 GOPPINGEN GERMANY KLIN EICHERT,ALLGEMEINCHIRURG KLIN D-73006 GOPPINGEN GERMANY
Titolo Testata:
Deutsche Medizinische Wochenschrift
fascicolo: 49, volume: 119, anno: 1994,
pagine: 1683 - 1689
Fonte:
ISI
Lingua:
GER
Soggetto:
NODE DISEASE; LONG-TERM; ATRIAL-FIBRILLATION; STIMULATION MODE; NATURAL-HISTORY; PACED PATIENTS; COMPLICATIONS; MORTALITY; PROGNOSIS; LIFE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
F. Hofgartner et al., "PACEMAKER THERAPY IN THE SICK SINUS SYNDR OME", Deutsche Medizinische Wochenschrift, 119(49), 1994, pp. 1683-1689

Abstract

Between 1986 and 1992, pacemakers were implanted in 307 patients withsymptoms caused by the sick sinus syndrome (SSS). 301 patients were regularly followed up (161 men, 146 women, mean age 72.9 [27-91] years)of whom 180 had a WI, 65 an AAI and 58 a DDD/DDI pacemaker. Mean follow-up period was 58.3 months for VVI-stimulated patients and 35.6 months for atrial paced patients. The data were analysed retrospectively to ascertain whether a change in pacemaker treatment to a more physiological system produced any lowering in the mortality rate, incidence ofpermanent atrial fibrillation (AF), and thromboembolic phenomena. Theannual mortality rate of the VVI-stimulated patients was 6.9%, that of atrial paced patients 2.8%. Age, abnormal ventricular function, survived resuscitation and diabetes mellitus each correlated with a shortened Life expectancy already at the time of implantation, regardless ofthe pacemaker mode. Permanent AF was more frequent during VVI stimulation (16% vs 7%), especially if it had been preceded by intermittent AF (26% vs 13%). But there was no significant difference with regard totransitory cerebral ischaemic episodes and peripheral arterial emboli(15% vs 10%). Fewer patients with atrial pacing went into heart failure (20% vs 30%). Four patients developed a high-grade atrioventricular(a-v) block on AAI stimulation (annual incidence 2.4%). - These observations suggest that patients with SSS should always have atrial pacedpacemaker systems. If a-v conduction is disturbed, a bifocal pacemaker is the system of choice.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 01:28:24