Dual chamber pacemaker in the treatment of paroxysmal atrial fibrillation
Background. Atrial fibrillation is the most frequent cardiac dysrhythmia. The aim of this study was to show the role and the efficacy of a dual chamber pacemaker with the algorithm of atrial dynamic overdrive, in the suppression of paroxysmal atrial fibrillation. Case report. A woman with a classica...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2005-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504329R.pdf |
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| author | Rađen Goran Rafajlovski Saša I. Perišić Zoran Romanović Radoslav |
| author_facet | Rađen Goran Rafajlovski Saša I. Perišić Zoran Romanović Radoslav |
| author_sort | Rađen Goran |
| collection | DOAJ |
| description | Background. Atrial fibrillation is the most frequent cardiac dysrhythmia. The aim of this study was to show the role and the efficacy of a dual chamber pacemaker with the algorithm of atrial dynamic overdrive, in the suppression of paroxysmal atrial fibrillation. Case report. A woman with a classical bradycardia-tachycardia syndrome, and frequent attacks of atrial fibrillation, underwent the implantation of a single chamber permanent pacemaker (VVI). Pacemaker successfully treated the episodes of symptomatic bradycardia, but the patient had frequent attacks of atrial fibrillation, despite the use of different antiarrhythmic drugs, which she did not tolerate well. The decision was made to reimplant a permanent dual chamber pacemaker with the algorithm of atrial dynamic overdrive. The pacemaker was programmed to the basic rate of 75/min, while rate at rest was 55/min. In addition, sotalol was administered. After three months, the patient became asymptomatic with only 4 short − term episodes of atrial fibrillation, and a high level of atrial pacing (99%). Conclusion. In selected patients with bradycardia−tachycardia syndrome, atrial-based pacing seemed to be very effective in reducing the incidence of paroxysmal atrial fibrillation. |
| format | Article |
| id | doaj-art-462f832f4b7841c795041b0530422bb2 |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2005-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-462f832f4b7841c795041b0530422bb22025-08-20T03:36:14ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502005-01-0162432933410.2298/VSP0504329RDual chamber pacemaker in the treatment of paroxysmal atrial fibrillationRađen GoranRafajlovski Saša I.Perišić ZoranRomanović RadoslavBackground. Atrial fibrillation is the most frequent cardiac dysrhythmia. The aim of this study was to show the role and the efficacy of a dual chamber pacemaker with the algorithm of atrial dynamic overdrive, in the suppression of paroxysmal atrial fibrillation. Case report. A woman with a classical bradycardia-tachycardia syndrome, and frequent attacks of atrial fibrillation, underwent the implantation of a single chamber permanent pacemaker (VVI). Pacemaker successfully treated the episodes of symptomatic bradycardia, but the patient had frequent attacks of atrial fibrillation, despite the use of different antiarrhythmic drugs, which she did not tolerate well. The decision was made to reimplant a permanent dual chamber pacemaker with the algorithm of atrial dynamic overdrive. The pacemaker was programmed to the basic rate of 75/min, while rate at rest was 55/min. In addition, sotalol was administered. After three months, the patient became asymptomatic with only 4 short − term episodes of atrial fibrillation, and a high level of atrial pacing (99%). Conclusion. In selected patients with bradycardia−tachycardia syndrome, atrial-based pacing seemed to be very effective in reducing the incidence of paroxysmal atrial fibrillation.http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504329R.pdfatrial fibrillationcardiac pacingartificialpacemakerartificialbradycardiatachycardia |
| spellingShingle | Rađen Goran Rafajlovski Saša I. Perišić Zoran Romanović Radoslav Dual chamber pacemaker in the treatment of paroxysmal atrial fibrillation Vojnosanitetski Pregled atrial fibrillation cardiac pacing artificial pacemaker artificial bradycardia tachycardia |
| title | Dual chamber pacemaker in the treatment of paroxysmal atrial fibrillation |
| title_full | Dual chamber pacemaker in the treatment of paroxysmal atrial fibrillation |
| title_fullStr | Dual chamber pacemaker in the treatment of paroxysmal atrial fibrillation |
| title_full_unstemmed | Dual chamber pacemaker in the treatment of paroxysmal atrial fibrillation |
| title_short | Dual chamber pacemaker in the treatment of paroxysmal atrial fibrillation |
| title_sort | dual chamber pacemaker in the treatment of paroxysmal atrial fibrillation |
| topic | atrial fibrillation cardiac pacing artificial pacemaker artificial bradycardia tachycardia |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504329R.pdf |
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