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Pacemaker Diagnostics to Determine Treatment and Outcome in Sick Sinus Syndrome with Paroxysmal Atrial Fibrillation
Author(s) -
MARSHALL ANDREW J.,
NASH ANTONY,
OWEN PAUL A.R.,
TODD DAVID,
JONES DAVID
Publication year - 2004
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2004.00595.x
Subject(s) - medicine , sick sinus syndrome , paroxysmal atrial fibrillation , atrial fibrillation , cardiology , management of atrial fibrillation
Sequential analysis of pacemaker diagnostics has been used to help manage the treatment and pacemaker program in patients who have sick sinus syndrome with documented paroxysmal atrial fibrillation. One hundred consecutive patients were followed for an average of 18 months. Knowledge of the atrial fibrillation burden led to major changes in medical management for half of the patients and changes to pacemaker programming for all. At the end of the study, 48 patients were free of arrhythmia with pacing although 14 required antiarrhythmic medication. We advocate using pacemaker diagnostics to improve patient management.

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