000			nab a22 7a 4500
999			_c17573 _d17573
003			PC17573
005			20230718120825.0
008			230718b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_92225 _aFontenla Cerezuela, Adolfo _eCardiología
100			_9158 _aSalguero Bodes, Rafael _eCardiología
100			_91253 _aLópez Gil, María _eCardiología
100			_91249 _aArribas Ynsaurriaga, Fernando _eCardiología
245	0	0	_aAtrial Rate-Responsive Pacing and Incidence of Sustained Atrial Arrhythmias in Patients with Implantable Cardioverter Defibrillators. _h[artículo]
260			_bPacing and clinical electrophysiology : PACE, _c2016
300			_a39(6):548-56.
500			_aFormato Vancouver: Fontenla A, Salguero R, Martínez Ferrer JB, Rodriguez A, Alzueta J, Garcia E et al. Atrial Rate-Responsive Pacing and Incidence of Sustained Atrial Arrhythmias in Patients with Implantable Cardioverter Defibrillators. Pacing Clin Electrophysiol. 2016 Jun;39(6):548-56.
501			_aPMID: 27001125
504			_aContiene 20 referencias
520			_aBackground: Atrial rate-responsive pacing (RRP) has proved to be safe in pacemaker recipients with chronotropic incompetence. Although RRP is available in all current implantable cardioverter defibrillators (ICDs), the outcomes of this pacing mode in ICD patients are unknown. The aim is to evaluate the relationship between atrial RRP and atrial arrhythmias in ICD recipients. Methods: Dual-chamber and triple-chamber ICD patients were included in this multicenter cohort study. Patients with permanent atrial fibrillation (AF) or VVI pacing mode were excluded. The number and duration of atrial tachycardia (AT)/AF episodes were assessed. Results: Data from 415 patients and 80,707 AT/AF episodes (median duration: 0.4 hours) were collected after a 21.3 ± 14.1-month follow-up. Atrial RRP was programmed in 90 (21.7%) patients and was associated with a higher atrial pacing percentage in the overall study population (51.2 ± 33.8% vs 18.4 ± 25.7%, P < 0.001) and to a higher ventricular pacing percentage among dual-chamber devices (22.3 ± 37.6% vs 9.3 ± 25%, P < 0.001). Independent factors associated with sustained AT/AF episodes (>23 hours) were previous AF (odds ratio [OR]: 7.98; 95% confidence interval [CI]: 4.11-15.47; P < 0.001) and atrial RRP (OR: 3.58; 95% CI: 1.82-7.03; P < 0.001). RRP was related to a lower sustained AT/AF episodes-free survival both in patients with a history of AF (43% vs 70%, P = 0.035) and without a history of AF (82% vs 97%, P = 0.004) at 2 years. Conclusions: Atrial RRP in ICD patients was related to a higher incidence of sustained atrial arrhythmias. This pacing mode may have an atrial proarrhythmic effect on ICD patients, especially among those with a history of AF.
710			_9119 _aServicio de Cardiología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17573.pdf _ySolicitar documento
942			_2ddc _cART _n0