Reduction of Right Ventricular Pacing with Advanced Atrioventricular Search Hysteresis: Results of the PREVENT Study

Kolb, Christof; Schmidt, Roland; Dietl, Josef U.; Weyerbrock, Sonja; Morgenstern, Martin; Fleckenstein, Martin; Beier, Thomas; Bary, Christian von; Mackes, K. G.; Widmaier, Jochen; Kreuzer, Jörg; Semmler, Verena; Zrenner, Bernhard

doi:10.1111/j.1540-8159.2011.03075.x

Cited by 23 publications

(17 citation statements)

References 37 publications

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“…The feasibility of algorithms designed to decrease the burden of unnecessary ventricular pacing has been demonstrated in patients with dual-chamber pacemakers [36][37][38]. These algorithms usually provide functional AAI pacing with monitoring of atrioventricular conduction and an automatic mode switch from AAI to DDD during episodes of atrioventricular block.…”

Section: Non-crt Devices: Algorithms To Reduce Right Ventricular Stimmentioning

confidence: 99%

2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing

et al. 2016

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Section: Non-crt Devices: Algorithms To Reduce Right Ventricular Stimmentioning

confidence: 99%

2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing

et al. 2016

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“…This study was a prespecified subanalysis from the PREVENT (Philos AV Repetitive Hysteresis: Effect on Ventricular Pacing) multicenter, randomized, crossover study. As reported previously, PREVENT compared VP% intraindividually for (1) the fixed, rate‐independent, moderately prolonged AV delay of 225 ms; (2) standard AVSH; and (3) enhanced AVSH with two new features described in the following section.…”

Section: Methodsmentioning

confidence: 91%

“…Major exclusion criteria were permanent AV block of any degree, persistent supraventricular tachyarrhythmia, neurocardiogenic syncope, pregnancy, or mental disability. Further details on patient selection can be found in the previous report . The study was approved by the ethics committee of the medical faculty of the Technical University, Munich, Germany (project number 1282/05).…”

Section: Methodsmentioning

confidence: 99%

Are Plasma Natriuretic Peptide Levels Influenced by Automatic Pacemaker Algorithms for Ventricular Pacing Minimization?

Kreuzer

Lennerz

Dietl

et al. 2013

Pacing Clinical Electrophis

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“…Early studies in patients with sick sinus syndrome and paroxysmal AF suggested that atrial-based pacing in and of itself might prevent AF by reducing the incidence of bradycardia-induced atrial fibrillation [6]. Atrial-based pacing has been shown to be superior to ventricular based pacing in the prevention of AF [7,8]. Pacing algorithms have evolved to minimize right ventricular pacing in patients with sick sinus syndrome and intact atrioventricular conduction.…”

Section: Introductionmentioning

confidence: 99%

Incidence of new onset atrial fibrillation in patients with permanent pacemakers and the relation to the pacing mode

et al. 2014

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BackgroundAtrial fibrillation is a relatively common arrhythmia often seen in patients with permanent pacemakers. In this study we aimed to assess the incidence of atrial fibrillation in patients whose pacemakers were programmed to pace in the right ventricle (VVI) and compared it with patients whose pacemakers were programmed in non-VVI mode(i.e. AAI or DDD).Material/MethodsRecords of the patients with permanent pacemaker or implantable-cardioverter-defibrillator were evaluated and analyzed. These patients had regular periodic follow-up evaluation over the last 10 years. (January 1, 2002 to December 31, 2012).Patient demographic, pacemaker data, pacing mode, review and analysis of arrhythmia log for occurrence of new atrial fibrillation and echocardiographic findings for left atrial size, mitral regurgitation, were analyzed and recorded. Left atrial size was classified as mild, moderate or severe enlargement, depending on the left atrial dimension.ResultsAverage age was 68 years. There was no gender predominance (51% male). Mean follow-up duration was 6 years and 3 months. Hispanic population represented the majority of the patients (65.4%). Majority of the devices (80.0%) were programmed as DDD pacing mode. Fifty-five patients (52.8%) did not develop atrial fibrillation. 85.7% of the patients paced in VVI-mode had atrial fibrillation while atrial fibrillation occurred in 37.4% among patients paced in non-VVI-mode. This difference was statistically significant (P<0.0001).ConclusionsRight ventricular pacing in a VVI mode was associated with higher incidence of atrial fibrillation, mitral regurgitation and left atrial enlargement. Non-VVI based pacing demonstrated lower incidence of new onset atrial fibrillation.

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Reduction of Right Ventricular Pacing with Advanced Atrioventricular Search Hysteresis: Results of the PREVENT Study

Abstract: The enhanced AVSH algorithm reduces %VP compared with standard AVSH in patients with intermittent AV block.

Cited by 23 publications

References 37 publications

2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing

2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing

Are Plasma Natriuretic Peptide Levels Influenced by Automatic Pacemaker Algorithms for Ventricular Pacing Minimization?

Incidence of new onset atrial fibrillation in patients with permanent pacemakers and the relation to the pacing mode

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