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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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 <7 minutes. Despite frequent PACs (median 10.8/hour) during sinus rhythm, a median of 66.4% of the AF episodes were preceded by <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)</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1046/j.1460-9592.2003.00039.x</identifier><identifier>PMID: 12687835</identifier><language>eng</language><publisher>350 Main Street , Malden , MA 02148-5018 , USA: Blackwell Futura Publishing, Inc</publisher><subject>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</subject><ispartof>Pacing and clinical electrophysiology, 2003-01, Vol.26 (1p2), p.310-313</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4039-45a7a1fc0b3894ea79896df1d5d65e66c1748b5191c0eccf78d6325050683ac93</citedby><cites>FETCH-LOGICAL-c4039-45a7a1fc0b3894ea79896df1d5d65e66c1748b5191c0eccf78d6325050683ac93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1460-9592.2003.00039.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1460-9592.2003.00039.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12687835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YANG, ALEXANDER</creatorcontrib><creatorcontrib>HOCHHÄUSLER, MARC</creatorcontrib><creatorcontrib>SCHRICKEL, JAN</creatorcontrib><creatorcontrib>BIELIK, HELGA</creatorcontrib><creatorcontrib>SHLEVKOV, NIKOLAY</creatorcontrib><creatorcontrib>SCHIMPF, RAINER</creatorcontrib><creatorcontrib>OTTO SCHWAB, JÖRG</creatorcontrib><creatorcontrib>ESMAILZADEH, BAHMAN</creatorcontrib><creatorcontrib>SCHNEIDER, CHRISTIAN</creatorcontrib><creatorcontrib>MELLERT, FRITZ</creatorcontrib><creatorcontrib>WELZ, ARMIN</creatorcontrib><creatorcontrib>SABOROWSKI, FRIEDHELM</creatorcontrib><creatorcontrib>LÜDERITZ, BERNDT</creatorcontrib><creatorcontrib>LEWALTER, THORSTEN</creatorcontrib><creatorcontrib>VIP Study Group</creatorcontrib><creatorcontrib>on behalf of the VIP Study Group</creatorcontrib><title>Advanced Pacemaker Diagnostic Features in the Characterization of Atrial Fibrillation: Impact on Preventive Pacing Algorithms</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><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 <7 minutes. Despite frequent PACs (median 10.8/hour) during sinus rhythm, a median of 66.4% of the AF episodes were preceded by <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)</description><subject>Algorithms</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Atrial Fibrillation - prevention & control</subject><subject>Atrial Fibrillation - therapy</subject><subject>cardiac pacing</subject><subject>Cardiac Pacing, Artificial - methods</subject><subject>Electrocardiography</subject><subject>Humans</subject><subject>pacemaker diagnostics</subject><subject>Pacemaker, Artificial</subject><subject>preventive pacing</subject><subject>watrial fibrillation</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1v0zAYhy0EYt3gX0A-cUuw49ixkThEYd2GCvQA4mi5zpvWXT6KnZZuEv87zlrBlYttWc_v_XgQwpSklOTi3TaluSCJ4ipLM0JYSuKh0uMzNKM8J4mkXD1HM0LzIpFMqgt0GcI2QoLk_CW6oJmQhWR8hn6X9cH0Fmq8NBY6cw8ef3Rm3Q9hdBbPwYx7DwG7Ho8bwNXGeGNH8O7RjG7o8dDgcvTOtHjuVt617dP3e3zX7SKHI7H0cIB-dAeYWrh-jct2PXg3brrwCr1oTBvg9fm-Qt_n19-q22Tx9eauKheJzeNeSc5NYWhjySrukoMplFSibmjNa8FBCEuLXK44VdQSsLYpZC1YxgknQjJjFbtCb091d374uYcw6s4FC3HaHoZ90AWjomCZiKA8gdYPIXho9M67zvgHTYme1OutntTrSb2e1Osn9foYo2_OPfarDup_wbPrCHw4Ab9cCw__XVgvy-o6vmI-OeVdGOH4N2_8vY7DF1z_-HKjbxeMfPpcVFqxP09yooU</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>YANG, ALEXANDER</creator><creator>HOCHHÄUSLER, MARC</creator><creator>SCHRICKEL, JAN</creator><creator>BIELIK, HELGA</creator><creator>SHLEVKOV, NIKOLAY</creator><creator>SCHIMPF, RAINER</creator><creator>OTTO SCHWAB, JÖRG</creator><creator>ESMAILZADEH, BAHMAN</creator><creator>SCHNEIDER, CHRISTIAN</creator><creator>MELLERT, FRITZ</creator><creator>WELZ, ARMIN</creator><creator>SABOROWSKI, FRIEDHELM</creator><creator>LÜDERITZ, BERNDT</creator><creator>LEWALTER, THORSTEN</creator><general>Blackwell Futura Publishing, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200301</creationdate><title>Advanced Pacemaker Diagnostic Features in the Characterization of Atrial Fibrillation: Impact on Preventive Pacing Algorithms</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4039-45a7a1fc0b3894ea79896df1d5d65e66c1748b5191c0eccf78d6325050683ac93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Algorithms</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Atrial Fibrillation - prevention & control</topic><topic>Atrial Fibrillation - therapy</topic><topic>cardiac pacing</topic><topic>Cardiac Pacing, Artificial - methods</topic><topic>Electrocardiography</topic><topic>Humans</topic><topic>pacemaker diagnostics</topic><topic>Pacemaker, Artificial</topic><topic>preventive pacing</topic><topic>watrial fibrillation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YANG, ALEXANDER</creatorcontrib><creatorcontrib>HOCHHÄUSLER, MARC</creatorcontrib><creatorcontrib>SCHRICKEL, JAN</creatorcontrib><creatorcontrib>BIELIK, HELGA</creatorcontrib><creatorcontrib>SHLEVKOV, NIKOLAY</creatorcontrib><creatorcontrib>SCHIMPF, RAINER</creatorcontrib><creatorcontrib>OTTO SCHWAB, JÖRG</creatorcontrib><creatorcontrib>ESMAILZADEH, BAHMAN</creatorcontrib><creatorcontrib>SCHNEIDER, CHRISTIAN</creatorcontrib><creatorcontrib>MELLERT, FRITZ</creatorcontrib><creatorcontrib>WELZ, ARMIN</creatorcontrib><creatorcontrib>SABOROWSKI, FRIEDHELM</creatorcontrib><creatorcontrib>LÜDERITZ, BERNDT</creatorcontrib><creatorcontrib>LEWALTER, THORSTEN</creatorcontrib><creatorcontrib>VIP Study Group</creatorcontrib><creatorcontrib>on behalf of the VIP Study Group</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YANG, ALEXANDER</au><au>HOCHHÄUSLER, MARC</au><au>SCHRICKEL, JAN</au><au>BIELIK, HELGA</au><au>SHLEVKOV, NIKOLAY</au><au>SCHIMPF, RAINER</au><au>OTTO SCHWAB, JÖRG</au><au>ESMAILZADEH, BAHMAN</au><au>SCHNEIDER, CHRISTIAN</au><au>MELLERT, FRITZ</au><au>WELZ, ARMIN</au><au>SABOROWSKI, FRIEDHELM</au><au>LÜDERITZ, BERNDT</au><au>LEWALTER, THORSTEN</au><aucorp>VIP Study Group</aucorp><aucorp>on behalf of the VIP Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advanced Pacemaker Diagnostic Features in the Characterization of Atrial Fibrillation: Impact on Preventive Pacing Algorithms</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2003-01</date><risdate>2003</risdate><volume>26</volume><issue>1p2</issue><spage>310</spage><epage>313</epage><pages>310-313</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>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 <7 minutes. Despite frequent PACs (median 10.8/hour) during sinus rhythm, a median of 66.4% of the AF episodes were preceded by <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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