Assessment of Ventricular Pacing in the Setting of an Institutional Improvement Program: Insights into Physiological Pacing

Abstract

BackgroundExcessive ventricular pacing is known to be detrimental. The purpose of this study was to assess ventricular pacing in the setting of an institutional improvement program in order to decrease unnecessary pacing.MethodThis cross-sectional single-center study performed in a university hospital assessed 80 consecutive patients attending for a cardiac electronic device (pacemaker or cardioverter defibrillator) check. Forty percent of ventricular pacing was set as the cutoff level beyond which pacing was considered excessive.ResultsThree patients were excluded. Forty-six (59.7%) patients (group 1) had more than 40% ventricular pacing and 31 (40.3%) patients (group 2) showed ventricular pacing less than 41%. In group 1, corrective action was successful in 27 (58.7%) patients, but 19 (41.3%) continued to have ventricular pacing over 40% and were discussed accordingly. An improvement program was established at the institution in order to decrease unnecessary ventricular pacing.ConclusionUnnecessary ventricular pacing was encountered in many of the patients in this study, corrective actions were performed, and an institutional improvement project was set up as a consequence.

Knowing About Device Algorithms to Understand the Rhythm and Role of Managed Ventricular Pacing

“…In our institution, we initiated a quality improvement program to enhance physiological pacing by reducing unnecessary ventricular pacing, 1 and therefore, this practice has become more widespread in our facility because we started the program.…”