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Left atrial appendage function during DDD and VVI pacing.
Simantirakis, E N; Parthenakis, F I; Chrysostomakis, S I; Zuridakis, E G; Igoumenidis, N E; Vardas, P E.
Afiliação
  • Simantirakis EN; Cardiology Department, University Hospital of Heraklion, Crete, Greece.
Heart ; 77(5): 428-31, 1997 May.
Article em En | MEDLINE | ID: mdl-9196412
OBJECTIVE: To examine, using transoesophageal echocardiography, the possible disturbances of left atrial appendage function during VVI and DDD pacing in patients with a normal atrium paced with a dual chamber system. DESIGN: Randomised controlled trial. SETTING: Tertiary care centre. PATIENTS: 22 patients (mean age 68 (SD 6) years) who had been paced with dual chamber pacemakers for at least six months. Exclusion criteria were valvar disease, cardiomyopathy, hypertension, and diabetes mellitus. INTERVENTIONS: All patients underwent a transoesophageal echocardiographic evaluation of left atrial appendage function under DDD and VVI modes in random order. Measurements were made after at least two months' pacing in each mode. MAIN OUTCOME MEASURES: Echocardiographic indices of left atrial appendage flow under both pacing modes. RESULTS: All 22 patients had higher emptying and filling flow velocities under DDD than under VVI mode. The filling and emptying flow velocity integrals were also significantly higher under DDD mode (P < 0.001, P = 0.019). CONCLUSIONS: Left atrial appendage function, as reflected in indices of emptying and filling assessed by transoesophageal echocardiography, is significantly different with DDD than with VVI pacing. This may explain the higher incidence of thromboembolic episodes in patients paced under VVI mode.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Síndrome do Nó Sinusal / Estimulação Cardíaca Artificial / Função do Átrio Esquerdo / Bloqueio Cardíaco Tipo de estudo: Clinical_trials Limite: Aged / Female / Humans / Male Idioma: En Revista: Heart Assunto da revista: CARDIOLOGIA Ano de publicação: 1997 Tipo de documento: Article País de afiliação: Grécia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Síndrome do Nó Sinusal / Estimulação Cardíaca Artificial / Função do Átrio Esquerdo / Bloqueio Cardíaco Tipo de estudo: Clinical_trials Limite: Aged / Female / Humans / Male Idioma: En Revista: Heart Assunto da revista: CARDIOLOGIA Ano de publicação: 1997 Tipo de documento: Article País de afiliação: Grécia