Atrial pacing: Its diagnostic and therapeutic applications

Cheng, Tsung O.

doi:10.1016/0033-0620(71)90056-9

Cited by 46 publications

(24 citation statements)

References 33 publications

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“…The probability of inducing block distal to the AV node (ie, intra-or infra-His) with rapid atrial pacing is low. 102,110,111,[118][119][120][121] Failure to induce distal block cannot be taken as evidence that the patient will not develop thirddegree AV block in the future. However, if atrial pacing induces nonphysiological infra-His block, some consider this an indication for pacing.…”

Section: Chronic Bifascicular Blockmentioning

confidence: 99%

2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities

Epstein¹,

DiMarco²,

Ellenbogen³

et al. 2013

Circulation

832

262

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Section: Chronic Bifascicular Blockmentioning

confidence: 99%

2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities

Epstein¹,

DiMarco²,

Ellenbogen³

et al. 2013

Circulation

832

262

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“…Correlation has been drawn between an abnormal response with later spontaneous development of heart block [11], In our patients, however, the response was well within the normal range with one-to-one atrioventricular conduction persisting at a rate of 150 in all studied patients. No further prolongation of HV interval was detected at this rate.…”

Section: Prognosismentioning

confidence: 99%

Multifascicular Block in Cardiomyopathy

Bashour¹,

Fahdul²,

Cheng³

1976

Cardiology

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Of 70 patients with cardiomyopathy, nine (13%) had bifascicular block: right bundle branch block with left anterior hemiblock in four, right bundle branch block with left posterior hemiblock in two, and left bundle branch block with left anterior hemiblock in three. Isolated left bundle branch block was present in four, isolated left anterior hemiblock in 13, and isolated left posterior hemiblock in one. No isolated right bundle branch block was found. Five of the patients with bifascicular block were evaluated by His bundle electrocardiography and atrial pacing. Block in the His-Purkinje system (prolonged HV interval) was present in four and atrioventricular conduction (AH interval) was normal in all five. Despite a common prolongation in intraventricular conduction, short term prognosis seems to be favorable since: (1) none had spontaneous progression to more advanced block or experienced Stokes-Adams attacks for an average follow-up period of at least 42 months, and (2) with atrial pacing, one-to-one atrioventricular conduction persisted to rates up to 150/min in all patients with no further prolongation of HV interval.

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“…Since the advent of the transvenous technique of cardiac pacing, indications for pacemaking have broadened (1–7). Whereas formerly the procedure entailed an open thoracotomy — a rather formidable surgical undertaking in the elderly on whom pacing was usually performed — the transvenous technique has now simplified the operation and made it safe to such an extent that its application has been extended to not only therapeusis but diagnosis.…”

mentioning

confidence: 99%

“…Of the various methods of transvenous pacing, the percutaneous transfemoral approach has gained increasing popularity (1, 4, 7). It is certainly the method of choice when the aim is to obtain at the same time a recording of the His‐bundle electrogram (6, 8). The latter information is not only of great diagnostic importance but has far‐reaching therapeutic implications in the various brady and tachy arrhythmias for which cardiac pacing is frequently employed.…”

mentioning

confidence: 99%

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Cardiac Pacing — The State of the Art*

Cheng

1972

J American Geriatrics Society

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The best method for cardiac pacing is transvenous. The percutaneous transfemoral approach has gained increasing popularity, especially when the objective is to obtain a His‐bundle recording. Although most of the clinical experience on cardiac pacing in the past decade has been with ventricular pacemakers, atrial pacing is becoming an increasingly important clinical tool. Among its many diagnostic, prognostic and therapeutic applications are: stress test for angina, diagnosis of the Wolff‐Parkinson‐White syndrome, recognition of bilateral bundle‐branch block, differentiation between mitral valvular obstruction and left ventricular dysfunction in rheumatic heart disease, selection of the pacing site in the sick sinus syndrome, and safe termination of supraventricular tachycardias in overdigitalized patients. The extensive use of cardiac pacemakers has also resulted in a new spectrum of auscultatory phenomena. Their occurrence depends upon the mode and site of pacing, the nature of the supraventricular rhythm, and the production of extra sounds and murmurs by the pacing catheters. An understanding of these phenomena is useful for proper clinical evaluation of pacemaker function as well as the underlying cardiac dysrhythmias.

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Atrial pacing: Its diagnostic and therapeutic applications

Cited by 46 publications

References 33 publications

2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities

2012 ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities

Multifascicular Block in Cardiomyopathy

Cardiac Pacing — The State of the Art*

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