Clinical Significance of Cardiac Permanent Pacemaker Mode Option in Patients with Complete Atrioventricular Block
Journal Title: Bagcilar Medical Bulletin - Year 2020, Vol 5, Issue 4
Abstract
Objective: We assessed the impact of pacing mode on long-term clinical outcomes in cases with the complete atrioventricular block (CAB). Method: We retrospectively analyzed 161 patients with CAB, who undergone a cardiac permanent pacemaker. Of the patients involved in the physiologic pacing (PP) group, 95 patients were with the VDD pacing mode and 14 patients were with the DDD pacing mode. In the ventricular pacing (VP) group, with the VVI pacing mode, there were 52 patients. Results: The average age of the patients was 66±13 years and the average follow-up duration was 40.2±22.6 months. Atrial fibrillation (AF) was observed to be significantly more common in the VP group than in the PP group (p=0.007). However, the occurrence of stroke was similar between the two groups (p=0.753). Newly developed congestive heart failure (CHF) was seen more commonly in the VP group (p=0.015). When we evaluated the patients with and without CHF before pacemaker placement, the number of patients with CHF was reduced in the PP group (p=0.039) and insignificantly increased in the VP group (p=0.219). Conclusion: We conclude that in patients with CAB, the use of PP, compared to VP, may decrease the rate of AF and CHF in the long-term.
Authors and Affiliations
Orhan İnce, Kamil Gülşen, Sevgi Özcan, Ertuğrul Okuyan, Cengiz Çeliker
Keywords
Related Articles
- EP ID EP691486
- DOI 10.4274/BMB.galenos.2020.05.018
- Views 131
- Downloads 0
Are Mean Platelet Volume and Neutrophil-to-Lymphocyte Ratio Related with Hepatosteatosis in Obese Children?
Objective: Obesity is an important health problem, which affects children and adolescents and is highly prevalent throughout the world. Non-alcoholic fatty liver disease is fattening that occurs due to non-alcohol causes...
Effect of the Seasonal Changes on Renal Function in Patients with Acute Ischemic Stroke
Objective: This study aimed to define seasonality trends of acute renal dysfunction in the patients with ischemic stroke. Method: This study was conducted retrospectively. Data were obtained from digital records of Şişl...
Management with Guidance of Minimally Invasive Cardiac Output Monitoring (PiCCO®) in Coronary Artery Bypass Surgery and Postoperative Results
Objective: Our study aimed to assess the correlation between the measured PiCCO® parameters and extubation time and intensive care unit (ICU) length of stay in patients who underwent coronary artery bypass grafting (CABG...
A Rarity, Oncocytoma of the Eyelid
Eyelid tumors are most common in the skin, and lacrimal gland and adnex origin are very rare. Although oxyphilic adenoma (oncocytoma) is generally located in the internal organ, it is one of the rare areas where it can h...
Clinical Outcomes and Factors Affecting the Outcome of Decompressive Craniectomy: Analysis of 50 Cases
Objective: Decompressive craniectomy (DC) is used as the last-stage method in the treatment of increased intracranial pressure (ICP). However, clinical outcomes reported in the literature are contradictory. Methods: Med...