Abstract
The cause of symptomatic bradycardia in most patients is either sinus node disease or atrioventricular block. The aetiology is usually generalized disease of the conducting tissue and sensitive tests may reveal the coexistence of both defects in the same patient. In practice, however, it is uncommon to find this to a clinically significant degree: in sinus node disease it is not generally necessary to pace the ventricle and in heart block it is not generally necessary to pace the atrium. Therefore the logical choice of pacing mode to restore physiological rhythm is AAI or AAIR for sinus node disease and VDD for atrioventricular block.
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References
Chamberlain DA, Woollons DJ, White HM, English MJ. Synchronous A-V pacing with a single pervenous electrode. Br Heart J 1973; 35: 559.
Fowler MB, Crick JCP, English MJ, Woollons DJ, Vincent R, Chamberlain DA. Haemodynamic advantages of synchronous (VDT/I) pacing after myocardial infarction using a single wire system. PACE 1980; 3: 370.
Curry PVL, Raper DA. Single lead for permanent physiological cardiac pacing. Lancet 1978; 2: 757–9.
Antonioli GE, Grassi G, Baggioni F, Mazzaloni M, Andreiccetti D. VAT and VDT system using a single bipolar catheter. PACE 1980; 3: 362.
Goldreyer BN, Olive AL, Leslie J, Cannom DS, Wyman MG. A new orthogonal lead for p synchronous pacing. PACE 1991; 4: 638–44.
Sowton E, Wainwright RJ, Crick JCP. “Crown of Thorns” single-pass lead-clincial results. PACE 1983; 6: 470–7.
Curzio G, Aquilina M, Morgagni W et al. A-wave endocavitary sensing by means of floating electrodes: three different appraoches. In Perez-Gomez, F (eds): Cardiac pacing: electro- physioilogy, tachyarrhythmias. Madrid, Spain: Editorial Grouz 1985; 865–73.
Percoco GF, Ansani L, Barbieri D et al. A new single lead VDD pacing system.
Furman S, Gross J, Andrew C, Ritacco R. Atrial synchronous pacing with a single pass lead. PACE 1989; 12: 678.
Crick JCP. Electrograms from the vicinity of the human heart in relation to artificial pacing. University of Sussex, these, D. Phil. 1984.
Aubert AE, Ector H, De Geest H. Single lead electrogram analysis. In Antonioli GE, Aubert AE, Ector H (eds): Pacemaker leads 1991. Amsterdam, The Netherlands: Elsevier BY 1991; 89–103.
Pitts Crick JC. Unpublished (in preparation).
Pitts crick JC, Papouchado M. Implantation technique for single-pass atrioventricular lead. Eur JCPE 1994; 4: 116.
Papouchado M, Goodfellow J, Burchard F, Pitts Crick JC. Single-pass lead VDD-R pacing: reliability of atrail sensing and atrial triggered ventricular pacing. PACE 1993; 16: 1929.
Papouchado M, McConnell TJ, Freer T, Pitts Crick JC. Comparison of single-pass VDD pacing leads. Eur JCPE 1994; 4: 116.
Pitts Crick JC. European multicentre prospective follow-up study of 1002 implants of a single lead VDD pacing system. PACE 1991; 14: 1742–4.
Ansani L, Percoco GF, Guardigli G, Toselli T, Antonioli GE. Long-term reliability of single lead atrial synchronous pacing systems using closely spaced atrial dipoles: five year experience. PACE 1994; 17: 1865–9.
Gross JN, Andrew C, Ben-Zur UM, Ritacco R, Furman S. VDD Pacing: chronic Efficacy, incidence of atrial fibrillation and evolution of sinoatrial dysfunction. PACE 1993; 16: 881.
Zanetta M, Parravicini U, Zenone F, Bielli M. Supraventricular arrhythmic events in advanced A-V block: single lead VDD versus DDD pacing. PACE 1993; 16: 1940.
Lau CP, Tai YT, Leung SK et al. Improved aerobic capacity with single lead atrial synchronous pacing with a rate adaptive sensor. JACC 1993; 21: 383A.
Taborski M, Neuzil P, Vopalka R, Rezek Z, Bicik V. Acute and long-term stability of p-wave sensing in a new VDDR single pass lead pacing system. PACE 1993; 16: 1937.
Lau CP, Tai YT, Leung SK, Leung WH, Chung FLW, Lee ISF. Long-term stability of p wave sensing in single lead VDDR Pacing. PACE 1994; 17: 1849–53.
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© 1996 Kluwer Academic Publishers
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Pitts Crick, J.C. (1996). Single lead atrial synchronised ventricular (VDD) pacing. In: Oto, M.A. (eds) Practice and Progress in Cardiac Pacing and Electrophysiology. Developments in Cardiovascular Medicine, vol 183. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0219-0_14
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DOI: https://doi.org/10.1007/978-94-009-0219-0_14
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-6582-5
Online ISBN: 978-94-009-0219-0
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