Atrioventricular pacemaker. Incidence and causes of reprogramming in long-term follow-up.

Abstract:

OBJECTIVE:To assess the incidence of problems requiring reprogramming of atrioventricular pacemakers in a long-term follow-up, and also the causes for this procedure. METHODS:During the period from May '98 to December '99, 657 patients were retrospectively studied, An actuarial curve for the event reprogramming of the stimulation mode was drawn. RESULTS:The follow-up period ranged from 12 to 178 months (mean = 81 months). Eighty-two (12.4%) patients underwent reprogramming of the stimulation mode as follows: 63 (9.5%) changed to VVI,(R/C); 10 (1.5%) changed to DVI,C; 6 (0.9%) changed to VDD,C; and 3 (0.5%) changed to DOO. The causes for the reprogramming were as follows: arrhythmia conducted by the pacemaker in 39 (37.6%) patients; loss of atrial sensitivity or capture, or both, in 39 (38.6%) patients; and microfracture of atrial electrode in 5 (4.9%) patients. The stimulation mode reprogramming free probability after 15 years was 58%. CONCLUSION:In a long-term follow-up, the atrioventricular pacemaker provided a low incidence of complications, a high probability of permanence in the DDD,C mode, and the most common cause of reprogramming was arrhythmia conducted by the pacemaker.

journal_name

Arq Bras Cardiol

authors

Martinelli M,de Arruda Melo S,Nishióka SA,Pedrosa AA,de Siqueira SF,Costa R,Sosa E

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

7-14

issue

1

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2001000100002

journal_volume

76

pub_type

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