Abstract
Permanent atrial pacing in sinus node disease was first successfully applied in 1964 [1]. Despite the fact that sinus node disease is today a common indication for permanent pacemaker treatment, the overall rate of atrial pacemaker implantations has remained low. Nevertheless, considerable experience has been gathered with permanent atrial stimulation. This is a review of aspects of atrial pacing that are relevant to the clinician.
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References
Silverman LF, Mankin HT, McGoon DC (1968) Surgical treatment of an inadequate sinus mechanism by implantation of a right atrial pacemaker electrode. J Thorac Cardiovasc Surg 55:264
Amikam S, Riss E (1979) Untoward hemodynamic consequences of permanent ventricular pacing associated with ventriculoatrial conduction. In:Meere C (ed) Proceedings of the Vlth world symposium on cardiac pacing. Pacesymp, Montreal, PP 15 - 6
Wirtzfeld A, Himmler FC, Klein G et al. (1982) Atrial pacing in patients with sick sinus syndrome:acute and long-term hemodynamic effects. In:Feruglio GA (ed) Cardiac pacing. Electrophysiology and pacemaker technology. Piccin Medica, Padova, P 651
Ausubel K, Furman S (1985) The pacemaker syndrome. Ann Intern Med 103:420
Badke FR, Boinay P, Covell JW (1980) Effects of ventricular pacing on regional left ventricular performance in the dog. Am J Physiol 238:H858
Askenazi J, Alexander JH, Koenigsberg DI et al. (1984) Alteration of left ventricular performance by left bundle branch block simulated with atrioventricular sequential pacing. Am J Cardiol 53:99
Zile MR, Blaustein AS, Shimizu G, Gaasch WH (1987) Right ventricular pacing reduces the rate of left ventricular relaxation and filling. J Am Coll Cardiol 10:720
Baller D, Wolpers H-G, Zipfel J et al. (1988) Comparison of the effects of right atrial, right ventricular apex and atrioventricular sequential pacing on myocardial oxygen consumption and cardiac efficiency:a laboratory investigation. PACE 11:394
Bedotto JB, Grayburn PA, Black WH et al (1990) Alterations in left ventricular relaxation during atrioventricular pacing in humans. J Am Coll Cardiol 15:658
Sutton R, Kenny R-A (1986) The natural history of sick sinus syndrome. PACE 9:1110
Rosenqvist M, Brandt J, Schüller H (1988) Long-term pacing in sinus node disease:effects of stimulation mode on cardiovascular morbidity and mortality. Am Heart J 116:16
Santini M, Messina G, Porto MP (1985) Sick sinus syndrome:single chamber pacing. In:Comez FP (ed) Cardiac pacing. Electrophysiology and tachyarrhythmias. Grouz, Madrid, P 144
Sasaki Y, Shimotori M, Akahane T et al. (1988) Long-term follow-up of patients with sick sinus syndrome:a comparison of clinical aspects among unpaced, ventricular inhibited paced, and physiologically paced groups. PACE 11:1575
Alpert MA, Curtis JJ, Sanfelippo JF et al (1987) Comparative survival following permanent ventricular and dual-chamber pacing for patients with chronic symptomatic sinus node dysfunction with and without congestive heart failure. Am Heart J 113:958
Greenberg P, Castellanet M, Messenger J, Ellestad MH (1978) Coronary sinus pacing:clinical follow-up. Circulation 57:98
Moss AJ, Rivers RJ (1978) Atrial pacing from the coronary vein. Ten-year experience in 50 patients with implanted permanent pacemakers. Circulation 57:103
Schüller H, Brandt J (1983) Klinische Erfahrungen mit der Kohlenstoffelektrode SE 412 S in Kammer- und Vorhofposition (465 Patienten). In:Beyer J, Hemmer W (eds) Physiologische Stimulation mit Herzschrittmachern. Thieme, Stuttgart, P 68
Bernstein SB, van Natta BE, Ellestad MH (1988) Experiences with atrial pacing. Am J Cardiol 61:113
Kleinert MP, Bartsch HR, Mühlenpfordt KG (1983) Comparative studies of ventricular and atrial stimulation thresholds of carbon-tip electrodes. In:Steinbach K et al (eds) Cardiac pacing. Proceedings of the Vllth world symposium on cardiac pacing. Steinkopff, Darmstadt, P 353
Brandt J, Attewell R, Fähraeus T, (1990) Atrial and ventricular stimulation threshold development:A comparative study in patients with a DDD pacemaker and two identical carbon-tip leads. PACE 13:859
Brandt J, Attewell R, Fähraeus T, Schüller H (1990) Acute atrial endocardial P wave amplitude and chronic pacemaker sensitivity requirements:relation to patient age and presence of sinus node disease. PACE 13:417
Shandling AH, Castellanet MJ, Thomas LA et al. (1990) The influence of endocardial electrode fixation status on acute and chronic atrial stimulation threshold and atrial endocardial electrogram amplitude. PACE 13:1116
Brandt J, Fähraeus T, Schüller H (1988) Far-field QRS complex sensing via the atrial pacemaker lead. I. Mechanism, consequences, differential diagnosis and countermeasures in AAI and VDD/DDD pacing. PACE 11:1432
Moss AJ, Rivers AJ Jr, Kramer DH (1974) Permanent pervenous pacing from the coronary vein. Long-term follow up. Circulation 49:222
Shandling AH, Castellanet MJ, Thomas L et al. (1989) Impaired activity rate responsiveness of an atrial activity-triggered pacemaker:the role of differential atrial sensing in its prevention. PACE 12:1927
Brandt J, Fähraeus T, Schüller H (1988) Far-field QRS complex sensing via the atrial pacemaker lead. II. Prevalence, clinical significance and possibility of intraoperative prediction in DDD pacing. PACE 11:1540
Rosen KM, Loeb HS, Sinno MZ et al. (1971) Cardiac conduction in patients with symptomatic sinus node disease. Circulation 43:836
Narula OS (1971) Atrioventricular conduction defects in patients with sinus bradycardia. Analysis by His bundle recordings. Circulation 44:1096
Rosenqvist M, Obel IWP (1989) Atrial pacing and the risk for AV block:is there a time for change in attitude? PACE 12:97
Sutton R (1989) The natural history of sick sinus syndrome and autonomic disturbances of heart rate control. New Trends Arrhythmias 5:125
Abbott JA, Hirschfeld DS, Kunkel FW, Scheinman MM (1977) Graded exercise testing in patients with sinus node dysfunction. Am J Med 62:330
Holden W, McAnulty JH, Rahimtoola SH (1978) Characterization of heart rate response to exercise in the sick sinus syndrome. Br Heart J 40:923
Valiin H, Edhag O (1980) Heart rate response in patients with sinus node disease compared to controls. Physiological implications and diagnostic possibilities. Clin Cardiol 3:391
Simonsen E (1987) Sinus node dysfunction. A prospective clinical study with special reference to true diagnostic value of ambulatory monitoring, exercise testing, and electrophysiologic studies. Thesis, University of Odense, Denmark. CA VI, Odense
Johnston FA, Robinson JF, Fyfe T (1987) Exercise testing in the diagnosis of sick sinus syndrome in the elderly:implications for treatment. PACE 10:831
Prior M, Masterson M, Blackburn G et al. (1988) Critical identification of patients with sinus node dysfunction for potential sensor-driven pacing. PACE 11:512 (abstr)
Kallryd A, Kruse I, Ryden L (1989) Atrial inhibited pacing in the sick sinus syndrome:clinical value and the demand for rate responsiveness. PACE 12:954
Rognoni G, Bolognese L, Aina F et al. (1988) Respiratory-dependent atrial pacing, management of sinus node disease. PACE 11:1853
Rosenqvist M, Aren C, Kristensson BE et al. (1990) Atrial rate-responsive pacing in sinus node disease. Eur Heart J 11:537
Hatano K, Kato R, Hayashi H et al. (1989) Usefulness of rate responsive atrial pacing in patients with sick sinus syndrome. PACE 12:16
Brandt J, Fähraeus T, Schüller H (1990) Rate-adaptive atrial pacing (AAI-R):clinical aspects. In:Barold SS, Mugica J (eds) New perspectives in cardiac pacing, vol 2. Futura, Mount Kisco
Winter UJ, Alt E, Zegelman M et al. (1989) Clinical experience with 65 temperature-guided (TP) pacemakers Nova MR in Europe. PACE 12:1567 (abstr)
Daubert C, Ritter P, Mabo P et al. (1986) Physiological relationship between AV interval and heart rate in healthy subjects:applications to dual chamber pacing. PACE 9:1032
Ruiter J, Burgersdijk C, Zeeders M, Kee D (1987) Atrial Activitrax pacing. The atrioventricular interval during exercise. PACE 10:1226 (abstr)
den Dulk K, Lindemans FW, Brugada P et al. (1988) Pacemaker syndrome with AAI rate variable pacing:importance of atrioventricular conduction properties, medication, and pacemaker programmability. PACE 11:1226
Pouillot C, Daubert C, Mabo P et al. (1990) The lack of adaptation in PR interval to heart rate:a frequent limitation for A AIR pacing. PACE 13:504 (abstr)
Eagle KA, Mulley AG, Singer DE et al. (1986) Single-chamber and dual-chamber cardiac pacemakers. A formal cost comparison. Ann Intern Med 105:264
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© 1993 Springer Verlag, Berlin Heidelberg
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Schüller, H., Brandt, J., Fåhraeus, T. (1993). AAI and AAI-R Pacing: Clinical and Technical Aspects. In: Alt, E., Barold, S.S., Stangl, K. (eds) Rate Adaptive Cardiac Pacing. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76649-7_19
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DOI: https://doi.org/10.1007/978-3-642-76649-7_19
Publisher Name: Springer, Berlin, Heidelberg
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