Cardiovascular events follow-up analysis in patients with sinus node dysfunction and implanted pacemaker

Dysfunction of sinus node (DSN) is the syndrome, characterized by symptoms of tissue hypoperfusion and manifestations on the electrocardiogram and could potentially lead to sudden death. The various impact of different types of pacemakers on life quality and cardiovascular endpoints was shown.Aim. T...

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Main Authors: E. A. Badykova, M. R. Badykov, V. V. Plechev, I. Sh. Sagitov, I. A. Lakman, N. Sh. Zagidullin
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2019-03-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/2722
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author E. A. Badykova
M. R. Badykov
V. V. Plechev
I. Sh. Sagitov
I. A. Lakman
N. Sh. Zagidullin
author_facet E. A. Badykova
M. R. Badykov
V. V. Plechev
I. Sh. Sagitov
I. A. Lakman
N. Sh. Zagidullin
author_sort E. A. Badykova
collection DOAJ
description Dysfunction of sinus node (DSN) is the syndrome, characterized by symptoms of tissue hypoperfusion and manifestations on the electrocardiogram and could potentially lead to sudden death. The various impact of different types of pacemakers on life quality and cardiovascular endpoints was shown.Aim. To analyze follow-up cardiovascular endpoints in patients with DSN and installed pacemakers.Material and methods. Six hundred and ten patients with DSN were analyzed in follow-up period (39,7±0,8 months) for unfavorable cardiovascular events (myocardial infarction, strokes, cardiovascular and non-cardiovascular hospitalizations).Results. Mortality rate differed depending on DSN variant (p=0,041), and most unfavorable was “tachy-brady” and sinoatrial node arrest + sinus node block III types. Also, the difference in mortality rate was shown for pacing variants (p=0,049) with maximal rate number of deaths was in ventricular pacemakers (24,6%) less — in dual-chamber pacemakers (11,7%) and minimal — in atrial (5,5%). No changes in cardiovascular endpoints was found between groups with sinus and pacemaker’s rhythm (p>0,5).Conclusion. In the follow-up analyze the difference between cardiovascular endpoints in patients in various types of pacemakers and regimen of stimulation was shown.
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spelling doaj-art-fabaebcb2d6d472d883e63a2aaf0d9482025-08-20T03:21:26Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-03-0102535710.15829/1560-4071-2019-2-53-572479Cardiovascular events follow-up analysis in patients with sinus node dysfunction and implanted pacemakerE. A. Badykova0M. R. Badykov1V. V. Plechev2I. Sh. Sagitov3I. A. Lakman4N. Sh. Zagidullin5Republican Cardiology Center of the Republic of Bashkortostan; Bashkir State Medical UniversityRepublican Cardiology Center of the Republic of Bashkortostan; Bashkir State Medical UniversityBashkir State Medical UniversityRepublican Cardiology Center of the Republic of BashkortostanUfa State Aviation Technical UniversityBashkir State Medical University; Ufa State Aviation Technical UniversityDysfunction of sinus node (DSN) is the syndrome, characterized by symptoms of tissue hypoperfusion and manifestations on the electrocardiogram and could potentially lead to sudden death. The various impact of different types of pacemakers on life quality and cardiovascular endpoints was shown.Aim. To analyze follow-up cardiovascular endpoints in patients with DSN and installed pacemakers.Material and methods. Six hundred and ten patients with DSN were analyzed in follow-up period (39,7±0,8 months) for unfavorable cardiovascular events (myocardial infarction, strokes, cardiovascular and non-cardiovascular hospitalizations).Results. Mortality rate differed depending on DSN variant (p=0,041), and most unfavorable was “tachy-brady” and sinoatrial node arrest + sinus node block III types. Also, the difference in mortality rate was shown for pacing variants (p=0,049) with maximal rate number of deaths was in ventricular pacemakers (24,6%) less — in dual-chamber pacemakers (11,7%) and minimal — in atrial (5,5%). No changes in cardiovascular endpoints was found between groups with sinus and pacemaker’s rhythm (p>0,5).Conclusion. In the follow-up analyze the difference between cardiovascular endpoints in patients in various types of pacemakers and regimen of stimulation was shown.https://russjcardiol.elpub.ru/jour/article/view/2722dysfunction of sinus nodecardiovascular eventspacemakermorbidity
spellingShingle E. A. Badykova
M. R. Badykov
V. V. Plechev
I. Sh. Sagitov
I. A. Lakman
N. Sh. Zagidullin
Cardiovascular events follow-up analysis in patients with sinus node dysfunction and implanted pacemaker
Российский кардиологический журнал
dysfunction of sinus node
cardiovascular events
pacemaker
morbidity
title Cardiovascular events follow-up analysis in patients with sinus node dysfunction and implanted pacemaker
title_full Cardiovascular events follow-up analysis in patients with sinus node dysfunction and implanted pacemaker
title_fullStr Cardiovascular events follow-up analysis in patients with sinus node dysfunction and implanted pacemaker
title_full_unstemmed Cardiovascular events follow-up analysis in patients with sinus node dysfunction and implanted pacemaker
title_short Cardiovascular events follow-up analysis in patients with sinus node dysfunction and implanted pacemaker
title_sort cardiovascular events follow up analysis in patients with sinus node dysfunction and implanted pacemaker
topic dysfunction of sinus node
cardiovascular events
pacemaker
morbidity
url https://russjcardiol.elpub.ru/jour/article/view/2722
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AT mrbadykov cardiovasculareventsfollowupanalysisinpatientswithsinusnodedysfunctionandimplantedpacemaker
AT vvplechev cardiovasculareventsfollowupanalysisinpatientswithsinusnodedysfunctionandimplantedpacemaker
AT ishsagitov cardiovasculareventsfollowupanalysisinpatientswithsinusnodedysfunctionandimplantedpacemaker
AT ialakman cardiovasculareventsfollowupanalysisinpatientswithsinusnodedysfunctionandimplantedpacemaker
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