Efficacy of Consistent Atrial Pacing Algorithm for Suppression of Atrial Arrhythmias in Patients With Sick Sinus Syndrome and Atrial Fibrillation
スポンサーリンク
概要
- 論文の詳細を見る
Atrial overdrive provides the best opportunity to suppress atrial arrhythmias. Atrial preference pacing (APP) algorithm has been designed to achieve a high percentage of atrial pacing. The aim of this study was to assess the efficacy of APP algorithm in patients with implanted pacemakers and tachycardia-bradycardia syndrome. The subjects were 17 patients (mean age, 71.7 ± 9.0 years old, 4 males) implanted with a DDDR pacemaker Thera DR (Medtronic, Minneapolis, MN, USA). All patients had sick sinus syndrome and paroxysmal atrial fibrillation before pacemaker implantation. Informed consent was obtained from each participant before enrollment. DDDR and mode switch or APP were randomly programmed. After two weeks, the pacing mode was switched to another mode. The percentage of atrial pacing was significantly higher in APP than in DDDR (97.7 ± 1.4 versus 52.3 ± 30.8, P < 0.0001). Atrial premature beat counts were significantly greater in DDDR than in APP (30689 ± 42534 versus 7717 ± 10700, P < 0.005). There was no significant difference in mode switch episode counts between DDIR and APP (2.6 ± 5.5 versus 8.4 ± 19.2, NS). Although there was no significant difference in mode switch episode counts between DDDR and APP, APP algorithm can successfully prevent atrial premature beats in patients with tachycardia-bradycardia syndrome.
- インターナショナル・ハート・ジャーナル刊行会の論文
著者
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Umemura Satoshi
Department of medical science and cardiorenal medcine, Yokohama City University Graduate School of M
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Uchino Kazuaki
Department of Cardiorenal Medicine, Yokohama City University Graduate School of Medicien
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Kimura Kazuo
Department of Cardiorenal Medicine, Yokohama City University Graduate School of Medicien
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Umemura Satoshi
熊本大学 医学薬学研究部循環器病態学
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ISHIKAWA Toshiyuki
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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MIKI Yuko
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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MATSUSHITA Kohei
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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YAMAKAWA Youhei
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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MATSUMOTO Katsumi
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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SUMITA Shinichi
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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Inoue Noriko
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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Kobayashi Tsukasa
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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Taima Minoru
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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Kosuge Masami
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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Matsushita Kohei
Department Of Cardiovascular Surgery Yokohama City University Medical Center
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Yamakawa Y
Department Of Medical Science And Cardiorenal Medicine Yokohama City University School Of Medicine
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Taima Minoru
Department Of Cardiology Yokohama City University Hospital
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Inoue Noriko
Department Of Cardiology Yokohama City University Hospital
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Kobayashi Tsukasa
Department Of Medical Science And Cardiorenal Medicine Yokohama City University Graduate School Of M
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Uchino Kazuaki
Department Of Cardiology Sagamihara National Hospital
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Yamakawa Youhei
Department Of Medical Science And Cardiorenal Medicine Yokohama City University School Of Medicine
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Miki Yuko
Department Of Biology Faculty Of Science Konan University
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Ishikawa Toshiyuki
Department Of Cardiology Yokohama City University Hospital
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Umemura Satoshi
Department Of Internal Medicine Ii Yokohama City University School Of Medicine
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Kosuge Masami
Department Of Cardiology National Cardiovascular Center
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Kimura Kazuo
Department Of Cardiology Other Hospitals
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Matsumoto Katsumi
Department Of Cardiology Yokohama City University Hospital
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UMEMURA Satoshi
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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Kimura Kazuo
Department of Medical Science and Cardiorenal Medicine, Yokohama City University School of Medicine
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Kimura Kazuo
Department of Applied Chemistry, Faculty of Engineering, Osaka University
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