Advanced Pacemaker Diagnostic Features in the Characterization of Atrial Fibrillation: Impact on Preventive Pacing Algorithms

YANG, A., et al.: Advanced Pacemaker Diagnostic Features in the Characterization of Atrial Fibrillation: Impact on Preventive Pacing Algorithms. Pacing algorithms to prevent PAF are mainly based on the suppression of premature atrial complexes (PACs), which play an important role in its initiation....

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Veröffentlicht in:Pacing and clinical electrophysiology 2003-01, Vol.26 (1p2), p.310-313
Hauptverfasser: YANG, ALEXANDER, HOCHHÄUSLER, MARC, SCHRICKEL, JAN, BIELIK, HELGA, SHLEVKOV, NIKOLAY, SCHIMPF, RAINER, OTTO SCHWAB, JÖRG, ESMAILZADEH, BAHMAN, SCHNEIDER, CHRISTIAN, MELLERT, FRITZ, WELZ, ARMIN, SABOROWSKI, FRIEDHELM, LÜDERITZ, BERNDT, LEWALTER, THORSTEN
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container_end_page 313
container_issue 1p2
container_start_page 310
container_title Pacing and clinical electrophysiology
container_volume 26
creator YANG, ALEXANDER
HOCHHÄUSLER, MARC
SCHRICKEL, JAN
BIELIK, HELGA
SHLEVKOV, NIKOLAY
SCHIMPF, RAINER
OTTO SCHWAB, JÖRG
ESMAILZADEH, BAHMAN
SCHNEIDER, CHRISTIAN
MELLERT, FRITZ
WELZ, ARMIN
SABOROWSKI, FRIEDHELM
LÜDERITZ, BERNDT
LEWALTER, THORSTEN
description YANG, A., et al.: Advanced Pacemaker Diagnostic Features in the Characterization of Atrial Fibrillation: Impact on Preventive Pacing Algorithms. Pacing algorithms to prevent PAF are mainly based on the suppression of premature atrial complexes (PACs), which play an important role in its initiation. In contrast to 24‐hour ambulatory electrocardiograms, advanced pacemaker (PM) diagnostic features are capable of recording AF episodes during long follow‐up periods and of characterizing AF in a detailed fashion. For the specific use of these algorithms, a detailed characterization of AF was performed in 91 dual chamber PM recipients with histories of AF. Fifteen patients with episodes of oversensing due to far‐field signals or frequent episodes of “2:1‐undersensing” of atrial flutter were excluded. The remaining 76 patients had high recurrence rates of AF (median 0.8 episodes/day), however, the majority of episodes lasted
doi_str_mv 10.1046/j.1460-9592.2003.00039.x
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Pacing algorithms to prevent PAF are mainly based on the suppression of premature atrial complexes (PACs), which play an important role in its initiation. In contrast to 24‐hour ambulatory electrocardiograms, advanced pacemaker (PM) diagnostic features are capable of recording AF episodes during long follow‐up periods and of characterizing AF in a detailed fashion. For the specific use of these algorithms, a detailed characterization of AF was performed in 91 dual chamber PM recipients with histories of AF. Fifteen patients with episodes of oversensing due to far‐field signals or frequent episodes of “2:1‐undersensing” of atrial flutter were excluded. The remaining 76 patients had high recurrence rates of AF (median 0.8 episodes/day), however, the majority of episodes lasted &lt;7 minutes. Despite frequent PACs (median 10.8/hour) during sinus rhythm, a median of 66.4% of the AF episodes were preceded by &lt;2 PACs/min before onset. In conclusion, frequent, short‐lived AF episodes seem best suited for AF preventive pacing therapies. However, the small number of PACs preceding many AF episodes may limit the efficacy of PAC suppressing algorithms. (PACE 2003; 26[Pt. 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Pacing algorithms to prevent PAF are mainly based on the suppression of premature atrial complexes (PACs), which play an important role in its initiation. In contrast to 24‐hour ambulatory electrocardiograms, advanced pacemaker (PM) diagnostic features are capable of recording AF episodes during long follow‐up periods and of characterizing AF in a detailed fashion. For the specific use of these algorithms, a detailed characterization of AF was performed in 91 dual chamber PM recipients with histories of AF. Fifteen patients with episodes of oversensing due to far‐field signals or frequent episodes of “2:1‐undersensing” of atrial flutter were excluded. The remaining 76 patients had high recurrence rates of AF (median 0.8 episodes/day), however, the majority of episodes lasted &lt;7 minutes. Despite frequent PACs (median 10.8/hour) during sinus rhythm, a median of 66.4% of the AF episodes were preceded by &lt;2 PACs/min before onset. In conclusion, frequent, short‐lived AF episodes seem best suited for AF preventive pacing therapies. However, the small number of PACs preceding many AF episodes may limit the efficacy of PAC suppressing algorithms. (PACE 2003; 26[Pt. 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Pacing algorithms to prevent PAF are mainly based on the suppression of premature atrial complexes (PACs), which play an important role in its initiation. In contrast to 24‐hour ambulatory electrocardiograms, advanced pacemaker (PM) diagnostic features are capable of recording AF episodes during long follow‐up periods and of characterizing AF in a detailed fashion. For the specific use of these algorithms, a detailed characterization of AF was performed in 91 dual chamber PM recipients with histories of AF. Fifteen patients with episodes of oversensing due to far‐field signals or frequent episodes of “2:1‐undersensing” of atrial flutter were excluded. The remaining 76 patients had high recurrence rates of AF (median 0.8 episodes/day), however, the majority of episodes lasted &lt;7 minutes. Despite frequent PACs (median 10.8/hour) during sinus rhythm, a median of 66.4% of the AF episodes were preceded by &lt;2 PACs/min before onset. In conclusion, frequent, short‐lived AF episodes seem best suited for AF preventive pacing therapies. However, the small number of PACs preceding many AF episodes may limit the efficacy of PAC suppressing algorithms. (PACE 2003; 26[Pt. II]:310–313)</abstract><cop>350 Main Street , Malden , MA 02148-5018 , USA</cop><pub>Blackwell Futura Publishing, Inc</pub><pmid>12687835</pmid><doi>10.1046/j.1460-9592.2003.00039.x</doi><tpages>4</tpages></addata></record>
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subjects Algorithms
Atrial Fibrillation - diagnosis
Atrial Fibrillation - physiopathology
Atrial Fibrillation - prevention & control
Atrial Fibrillation - therapy
cardiac pacing
Cardiac Pacing, Artificial - methods
Electrocardiography
Humans
pacemaker diagnostics
Pacemaker, Artificial
preventive pacing
watrial fibrillation
title Advanced Pacemaker Diagnostic Features in the Characterization of Atrial Fibrillation: Impact on Preventive Pacing Algorithms
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