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European Heart Journal 1998 19(2):282-286; doi:10.1053/euhj.1997.0616
Copyright © 1998 by the European Society of Cardiology.
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Influence of pacing modalities on the incidence of atrial fibrillation in patients without prior atrial fibrillation. A prospective study

A.V. Mattioli, D. Vivoli and G. Mattioli

Department of Cardiology, University of Modena, Modena, Italy

accepted June 20, 1997

Aim

Many studies suggest that patients who receive a physiological pacemaker have a reduced incidence of atrial fibrillation compared to patients receiving a ventricular pacemaker.

Methods

In order to evaluate the impact of different pacing modalities on the incidence of atrial fibrillation, we prospectively analysed 210 patients. Patients with previous episodes of atrial fibrillation were excluded from the study. The patient population included 110 patients paced for sick sinus syndrome and 100 patients paced for total atrio-ventricular block or second degree type atrioventricular block.

Results

Patients were followed for 5 years; the incidence of atrial fibrillation was 10% at 1 year, 23% at 3 years and 31% at 5 years. There was an increase in the incidence of atrial fibrillation in patients receiving a ventricular pacemaker compared to patients receiving a physiological pacemaker.

Conclusion

The pacing modality appeared to influence the incidence of atrial fibrillation in paced patients; patients with ventricular pacing had a significantly higher incidence of arrhythmias than did patients with physiological pacing.

Key Words: Atrial fibrillation • ventricular pacing • physiological pacing

Correspondence: Prof. Giorgio Mattioli, Department of Cardiology, Modena University, 71, Via del Pozzo, 41100 Modena, Italy.


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