Incidence of Atrial Flutter and Atrial Fibrillation in Patients With Implanted Physiological Pacemakers
スポンサーリンク
概要
- 論文の詳細を見る
Atrial flutter (AF) is a troublesome arrhythmia for patients with an implanted pacemaker. Although it has recently become possible to eliminate AF by radiofrequency catheter ablation (RF-CA), the incidence of AF before and after pacemaker implantation has not been clarified. The present study was conducted with 123 consecutive patients (69.3±11.6 (SD) years old) implanted with pacemakers, excluding patients who had chronic atrial fibrillation (AFib) when the pacemaker was implanted; 69 patients with atrioventricular (AV) block and 54 patients with sick sinus syndrome (including 29 patients with bradycardia - tachycardia syndrome). All patients were implanted with physiological pacemakers. The follow-up period was 4.7±1.9 years. In 11 of the 123 patients (8.9%), AF was observed before pacemaker implantation and the incidence was significantly higher in patients with sick sinus syndrome than in the those with AV block (16.7 vs 2.9%, p<0.01). Nine of the 29 patients with bradycardia-tachycardia syndrome (31%) had AF. After physiological pacemaker implantation, AF recurred in 9 of the 11 patients, and AF was newly observed in 1 patient. Thus, 10 of the 123 patients (8.1%) had AF after physiological pacemaker implantation. Recurrence of AF was not suppressed by physiological pacing. Thirty of the 123 patients had AFib before implantation of a pacemaker and its occurrence was reduced by physiological pacing (from 24.4% to 12.2%, p<0.05). The incidence of AFib in patients with AF was significantly higher than in those without AF (90.0 vs 5.3%, p<0.001). In conclusion, the recurrence of AF is not prevented by physiological pacing and is closely related to the occurrence of AFib. RF-CA should be considered in patients who have AF before pacemaker implantation.
- 社団法人日本循環器学会の論文
- 2000-06-20
著者
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Kimura Kazuo
Cardiovascular center, Yokohama City University School of Medcine
-
Kosuge Masami
Cardiovascular center, Yokohama City University School of Medcine
-
Sumita Shinichi
Cardiovascular Center, Yokohama City University Medical Center
-
Umemura Satoshi
Cardiovascular Center, Yokohama City University Medical Center
-
Kosuge Masami
横浜市立大学附属市民総合医療センター 心臓血管センター
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Kosuge Masami
Yokohama City University School Of Medicine Cardiovascular Center
-
Usui Takashi
Department of Cardiology, Fujisawa Municipal Hospital
-
Usui Takashi
Department Of Cardiology Fujisawa Municipal Hospital
-
Minami Kazutoshi
Yokohama City University Medical Center
-
Tochikubo Osamu
Division Of Cardiology Yokohama City University Medical Center
-
Kosuge Masami
横浜市立大学 心臓血管セ
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Tochikubo Osamu
Division Of Preventive Cardiology National Cardiovascular Center
-
Usui Takashi
Cardiovascular Division Department Of Medicine Fujisawa Municipal Hospital
-
Tochikubo Osamu
Cardiovascular Division Yokohama City University School Of Medicine Medical Center
-
Kuji Naomitsu
Cardiovascular Center Yokohama City University School Of Medicine
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Tochikubo Osamu
The Second Department Of Internal Medicine Yokohama City University
-
Ishikawa Toshiyuki
Cardiovascular Center, Yokohama City University School of Medicine
-
Kikuchi Miyako
Cardiovascular Center, Yokohama City University School of Medicine
-
Nakagawa Takeshi
Cardiovascular Center, Yokohama City University School of Medicine
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Kikuchi Miyako
Yokohama City University School Of Medicine Cardiovascular Center
-
Kimura Kazuo
Cardiac Division Department Of Internal Medicine National Cardiovascular Center
-
Nishizawa Takashi
Department Of Pediatrics Yokohama City University Medical Center
-
Kimura Kazuo
Cardiac Division Department Of Internal Medicine National Cardio-vascular Center
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