Minimization of uncalled-for right ventricular apical electric cardiac stimulation by means of switching of regimen and atrioventricular interval optimization of double-chamber cardiac pacemakers

Idov É.M.

Ural'skaia gosudarstvennaia meditsinskaia akademiia, Ekaterinburg

Molodykh S.V.

Tsentral'naia gorodskaia bol'nitsa #4, Nizhniĭ Tagil, Sverdlovskaia oblast'

Beliaev O.V.

Ural'skaia gosudarstvennaia meditsinskaia akademiia, Ekaterinburg

Minimization of uncalled-for right ventricular apical electric cardiac stimulation by means of switching of regimen and atrioventricular interval optimization of double-chamber cardiac pacemakers

Authors:

Idov É.M., Molodykh S.V., Beliaev O.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(2): 57‑64

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To cite this article:

Idov ÉM, Molodykh SV, Beliaev OV. Minimization of uncalled-for right ventricular apical electric cardiac stimulation by means of switching of regimen and atrioventricular interval optimization of double-chamber cardiac pacemakers. Russian Journal of Cardiology and Cardiovascular Surgery. 2012;5(2):57‑64. (In Russ.)

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)

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116 patients (62 women, 54 men, age 31-84 years, mean age 62.8±2.6 years) with sick sinus syndrome (n=66) and II-III degree atrioventricular (AV) block (n=56) after implantation of double-chamber cardiac pacemaker (CP) were included in randomized crossover study aimed to compare results of two methods of ventricular stimulus minimization: traditional (long AV-interval of CP, 250 mc) and new (activation of minimization of right ventricular cardiac stimulation). Applied algorithms of minimization were divided into two types of functioning: optimization of AV-interval and reversible automatic switching of regimen. It is shown that application of such minimization algorithms compared with long AV-interval provides significant decrease of ventricular stimuli, load of paroxysmal supraventricular tachycardia and subjective improvement of life quality.

Keywords:

cardiac rhythm disturbances

double-chamber cardiac stimulation

mimimization of right ventricular cardiac stimulation

atrioventricular interval

automatic switching of regimen

supraventricular tachycardia

quality of life

Authors:

Idov É.M.

Ural'skaia gosudarstvennaia meditsinskaia akademiia, Ekaterinburg

Molodykh S.V.

Tsentral'naia gorodskaia bol'nitsa #4, Nizhniĭ Tagil, Sverdlovskaia oblast'

Beliaev O.V.

Ural'skaia gosudarstvennaia meditsinskaia akademiia, Ekaterinburg

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