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  • Title: [Follow-up patients with sick sinus syndrome after pacemaker implantation].
    Author: Iskenderov BG, Latyshev DS.
    Journal: Ter Arkh; 2000; 72(11):54-6. PubMed ID: 11270959.
    Abstract:
    AIM: To study a clinical course and dynamics of arrhythmogenesis in patients with sick sinus syndrome (SSS) in varying regimes of permanent pacing. MATERIAL AND METHODS: Of 223 SSS patients, the SSS course and outcomes under pacing were studied in 148 bradyarrhythmia and 75 bradytachyarrhythmia patients. ECG variants and pacing regimes were regarded. RESULTS: Within 4-13-year follow-up, constant form of supraventricular tachyarrhythmia was diagnosed in atrial stimulation in 3.4% of cases, in ventricular stimulation in 32%. Thromboembolic complications and atrioventricular blocks of the II-III degree in atrial stimulation were registered, respectively, in 5.6 and 4.2% cases. Thromboembolism in ventricular stimulation occurred in 11.1%. Reoperation (conversion from atrial to ventricular stimulation, ablation of atrioventricular conjunction) was made for change of pacing method and regime in 11.2% because of changed arrhythmia type. Total mortality for the follow-up period was 14.3%, in bradycardia--9.5%, in bradytachycardia--24%. CONCLUSION: Continuous pacing improves quality of life in SSS patients.
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