FREQUENCY OF ATRIAL FIBRILLATION IN PATIENTS WITH IMPLANTATION OF VENTRICULAR DEMAND RATE RESPONSIVE AND DUAL CHAMBER RATE-MODULATED PACEMAKER

Main Article Content

Javaidullah Khan
Zahoor Ahmad Khan
Rashid Iqbal
Sami Ullah
Salman Ahmad Khan
Rizwan

Abstract

Objectives:


To determine the frequency of AF in patients after implantation of permanent pacemaker.


Methodology:


This longitudinal observational study was conducted in the department of cardiology Hayatabad Medical Complex from 1st September 2018 to 31st August 2019 through a descriptive cross sectional study design, a total of 58 patients were included in this study.
Results:


A total of 58 patients were included in the study. Sample size calculated by WHO sample size calculator using 95%confidence interval and 5% error. 29 (50%) patients had no comorbidity, 5 (8.5%) patients were Diabetic, 17 (29.3%) patients were hypertensive, 7 (12.1%) patients were having CAD. 15 (25.9%) Patients had normal Echo Report with ejection fraction >55%, 34 (58.6%) Patients had Preserved LV Function, 9 (15.5%) Patients were recorded with impaired LV Function. 32 (55.2%) had VVIR Device implanted whereas in 26 (44.8%) patients DDDR Device was implanted. 58 (100%) patients had Sinus Rhythm during implantation. At one month follow up, 56 (96.6%) had Sinus Rhythm, 2 (3.4%) patients had Atrial Fibrillation. At one year, 50 (85.2%) patients had sinus Rhythm and 8 (13.8%) patients had AF., and 13 (22.4%) patients had developed Heart Failure.
Conclusions:


Our study showed AF burden initially decreased significantly but over long-term AF significantly increased progressively

Article Details

How to Cite
1.
Khan J, Ahmad Khan Z, Iqbal R, Ullah S, Ahmad Khan S, Rizwan. FREQUENCY OF ATRIAL FIBRILLATION IN PATIENTS WITH IMPLANTATION OF VENTRICULAR DEMAND RATE RESPONSIVE AND DUAL CHAMBER RATE-MODULATED PACEMAKER. J Postgrad Med Inst [Internet]. 2024 Feb. 17 [cited 2024 Nov. 11];38(1):59-63. Available from: https://jpmi.org.pk/index.php/jpmi/article/view/3201
Section
Original Article

References

Kuang RJ, Pirakalathanan J, Lau T, Koh D, Kotschet E, Ko B, et al. An up-to-date review of cardiac pacemakers and implantable cardioverter defibrillators. J Med Imaging Radiat Oncol. 2021;65(7):896-903. Epub 2021/09/03. doi: 10.1111/1754-9485.13319. PubMed PMID: 34472707.

DeForge WF. Cardiac pacemakers: a basic review of the history and current technology. J Vet Cardiol. 2019;22:40-50. Epub 2019/02/23. doi: 10.1016/j.jvc.2019.01.001. PubMed PMID: 30792165.

Podd SJ, Sugihara C, Furniss SS, Sulke N. Are implantable cardiac monitors the 'gold standard' for atrial fibrillation detection? A prospective randomized trial comparing atrial fibrillation monitoring using implantable cardiac monitors and DDDRP permanent pacemakers in post atrial fibrillation ablation patients. Europace. 2016;18(7):1000-5. Epub 2015/11/21. doi: 10.1093/europace/euv367. PubMed PMID: 26585596.

Chu SY, Jiang J, Wang YL, Sheng QH, Zhou J, Ding YS. Atrial Fibrillation Burden Detected by Dual-Chamber Pacemakers as a Predictor for Cardiac Outcomes: A Retrospective Single-Center Cohort Study. Front Cardiovasc Med. 2021;8:654532. Epub 2021/07/13. doi: 10.3389/fcvm.2021.654532. PubMed PMID: 34250036; PubMed Central PMCID: PMCPMC8267005.

Nielsen JC. Mortality and incidence of atrial fibrillation in paced patients. J Cardiovasc Electrophysiol. 2002;13(1 Suppl):S17-22. Epub 2002/02/21. doi: 10.1111/j.1540-8167.2002.tb01948.x. PubMed PMID: 11852889.

Savelieva I, Camm AJ. Clinical relevance of silent atrial fibrillation: prevalence, prognosis, quality of life, and management. J Interv Card Electrophysiol. 2000;4(2):369-82. Epub 2000/08/10. doi: 10.1023/a:1009823001707. PubMed PMID: 10936003.

Kristensen L, Nielsen JC, Mortensen PT, Pedersen OL, Pedersen AK, Andersen HR. Incidence of atrial fibrillation and thromboembolism in a randomised trial of atrial versus dual chamber pacing in 177 patients with sick sinus syndrome. Heart. 2004;90(6):661-6. Epub 2004/05/18. doi: 10.1136/hrt.2003.016063. PubMed PMID: 15145874; PubMed Central PMCID: PMCPMC1768274.

Khanal J, Poudyal RR, Devkota S, Thapa S, Dhungana RR. Clinical Profile and Early Complications after Single and Dual Chamber Permanent Pacemaker Implantation at Manmohan Cardiothoracic Vascular and Transplant Centre, Kathmandu, Nepal. J Nepal Health Res Counc. 2015;13(30):138-43. Epub 2016/01/09. PubMed PMID: 26744199.

Fored CM, Granath F, Gadler F, Blomqvist P, Rynder J, Linde C, et al. Atrial vs. dual-chamber cardiac pacing in sinus node disease: a register-based cohort study. Europace. 2008;10(7):825-31. Epub 2008/05/10. doi: 10.1093/europace/eun118. PubMed PMID: 18467299.

Vijayarajan V, Kritharides L, Brieger D, Cheng YY, Chow V, Ng ACC. Sex differences in rates of permanent pacemaker implantation and in-hospital complications: A statewide cohort study of over 7 million persons from 2009-2018. PLoS One. 2022;17(8):e0272305. Epub 2022/08/11. doi: 10.1371/journal.pone.0272305. PubMed PMID: 35947540; PubMed Central PMCID: PMCPMC9365143.

Shrestha B, Dunn L. The Declaration of Helsinki on Medical Research involving Human Subjects: A Review of Seventh Revision. J Nepal Health Res Counc. 2020;17(4):548-52. Epub 2020/02/01. doi: 10.33314/jnhrc.v17i4.1042. PubMed PMID: 32001865.

Gebauer RA, Tomek V, Salameh A, Marek J, Chaloupecky V, Gebauer R, et al. Predictors of left ventricular remodelling and failure in right ventricular pacing in the young. Eur Heart J. 2009;30(9):1097-104. Epub 2009/03/17. doi: 10.1093/eurheartj/ehp060. PubMed PMID: 19286675; PubMed Central PMCID: PMCPMC2675702.

Stambler BS, Ellenbogen K, Zhang X, Porter TR, Xie F, Malik R, et al. Right ventricular outflow versus apical pacing in pacemaker patients with congestive heart failure and atrial fibrillation. J Cardiovasc Electrophysiol. 2003;14(11):1180-6. Epub 2003/12/18. doi: 10.1046/j.1540-8167.2003.03216.x. PubMed PMID: 14678131.

Malecka B, Kutarski A, Pietura R, Lelakowski J, Zabek A, Bednarek J, et al. Complications of permanent dual-chamber pacing such as late purulent pacemaker pocket infection with broken and looped atrial lead, complicated by pulmonary embolism after transvenous lead removal: a case report. Pol Arch Med Wewn. 2008;118(5):322-6. Epub 2008/07/16. PubMed PMID: 18619185.

Kaul P, Adluri K, Javangula K, Baig W. Successful management of multiple permanent pacemaker complications--infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosis. J Cardiothorac Surg. 2009;4:12. Epub 2009/02/26. doi: 10.1186/1749-8090-4-12. PubMed PMID: 19239701; PubMed Central PMCID: PMCPMC2649923.

Tjong FV, Reddy VY. Permanent Leadless Cardiac Pacemaker Therapy: A Comprehensive Review. Circulation. 2017;135(15):1458-70. Epub 2017/04/12. doi: 10.1161/CIRCULATIONAHA.116.025037. PubMed PMID: 28396380.

Kokras N, Politis AM, Zervas IM, Pappa D, Markatou M, Katirtzoglou E, et al. Cardiac rhythm management devices and electroconvulsive therapy: a critical review apropos of a depressed patient with a pacemaker. J ECT. 2011;27(3):214-20. Epub 2011/01/06. doi: 10.1097/YCT.0b013e31820057b3. PubMed PMID: 21206373.

Carrion-Camacho MR, Molina-Donoro JM, Gonzalez-Lopez JR. Risk factors concerning complications following permanent pacemaker implantation for patients on antithrombotic therapy: a cohort study. J Investig Med. 2020;68(4):828-37. Epub 2020/02/27. doi: 10.1136/jim-2019-001238. PubMed PMID: 32098833.

Cevik C, Wilborn T, Corona R, Schanzmeyer E, Nugent K. Post-cardiac injury syndrome following transvenous pacemaker insertion: A case report and review of the literature. Heart Lung Circ. 2009;18(6):379-83. Epub 2009/08/04. doi: 10.1016/j.hlc.2009.04.001. PubMed PMID: 19647485.

Ekpe EE, Aghaji MA, Edaigbini SA, Onwuta CN. Cardiac pacemaker treatment of heart block in Enugu a 5-year review. Niger J Med. 2008;17(1):7-12. Epub 2008/04/09. doi: 10.4314/njm.v17i1.37346. PubMed PMID: 18390124.

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