Managing paroxysmal atrial tachycardias in patients with pacemakers

  • Richard Sutton
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 183)


Paroxysmal atrial tachycardias may demand the full extent of both clinical acumen and pacemaker technology for optimal management. This field has grown in the last decade from a basic recognition of the existence of the problem [1] to a sophisticated armamentarium of technological solutions for widely appreciated and frequent phenomena. At first, only a few centres realised the benefits of atrial pacing in sinoatrial node disease for prevention of its serious complications, notably stroke, other systemic emboli and heart failure [2–5]. In the second half of the 1980s and the 1990s the real value of atrial pacing has been established [6, 7] culminating in the report of the Danish trial [8] where atrial versus ventricular pacing in sinoatrial node disease was studied prospectively and showed conclusive evidence of the superiority of atrial pacing in reduction of systemic embolism. The principles underlying these reports are applicable to the management of all patients paced for sinoatrial node disease and to some extent in those with a different aetiology.


Mode Switching Ventricular Pace Atrial Tachycardia Atrial Pace Chronic Atrial Fibrillation 
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© Kluwer Academic Publishers 1996

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  • Richard Sutton

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