Atrial High-Rate Event Incidence and Predictors in Patients With Permanent Pacemaker Implantation
Objective: The present study aims to investigate the incidence and predictors of atrial high-rate events (AHREs) in patients with permanent pacemaker implants.Methods: A total of 289 patients who were implanted with a dual-chamber pacemaker due to complete atrioventricular block or symptomatic sick...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-10-01
|
| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2021.728885/full |
| _version_ | 1818695249101324288 |
|---|---|
| author | Jian Hua Chen Guo Yao Chen Hong Zheng Quan He Chen Fa Yuan Fu Fei Long Zhang Liang Long Chen Wei Wei Wang |
| author_facet | Jian Hua Chen Guo Yao Chen Hong Zheng Quan He Chen Fa Yuan Fu Fei Long Zhang Liang Long Chen Wei Wei Wang |
| author_sort | Jian Hua Chen |
| collection | DOAJ |
| description | Objective: The present study aims to investigate the incidence and predictors of atrial high-rate events (AHREs) in patients with permanent pacemaker implants.Methods: A total of 289 patients who were implanted with a dual-chamber pacemaker due to complete atrioventricular block or symptomatic sick sinus syndrome (SSS) and had no previous history of atrial fibrillation were included in the present study. AHREs are defined as events with an atrial frequency of ≥175 bpm and a duration of ≥5 min. The patients were divided into two groups according to whether or not AHREs were detected during the follow-up: group A (AHRE+, n = 91) and group N (AHRE–, n = 198).Results: During the 12-month follow-up period, AHREs were detected in 91 patients (31.5%). The multivariate Cox regression analysis revealed that patient age [odds ratio [OR] = 1.041; 95% confidence interval [CI], 1.018–1.064; and P < 0.001], pacemaker implantation due to symptomatic SSS (OR = 2.225; 95% CI, 1.227–4.036; and P = 0.008), and the percentage of atrial pacing after pacemaker implantation (OR = 1.010; 95% CI, 1.002–1.017; and P = 0.016) were independent AHRE predictors.Conclusion: The AHRE detection rate in patients with pacemaker implants was 31.5%. Patient age, pacemaker implantation due to symptomatic SSS, and the percentage of atrial pacing after pacemaker implantation were independent AHRE predictors. |
| first_indexed | 2024-12-17T13:42:28Z |
| format | Article |
| id | doaj.art-4b621707515c4773a59281cb042d78ba |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-12-17T13:42:28Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-4b621707515c4773a59281cb042d78ba2022-12-21T21:46:14ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-10-01810.3389/fcvm.2021.728885728885Atrial High-Rate Event Incidence and Predictors in Patients With Permanent Pacemaker ImplantationJian Hua Chen0Guo Yao Chen1Hong Zheng2Quan He Chen3Fa Yuan Fu4Fei Long Zhang5Liang Long Chen6Wei Wei Wang7Department of Cardiology, Fujian Provincial Institute of Coronary Disease, Fujian Heart Medical Center, Fujian Medical University Union Hospital, Fuzhou, ChinaUnion Clinic Medical College, Fujian Medical University, Fuzhou, ChinaDepartment of Cardiology, Fujian Provincial Institute of Coronary Disease, Fujian Heart Medical Center, Fujian Medical University Union Hospital, Fuzhou, ChinaUnion Clinic Medical College, Fujian Medical University, Fuzhou, ChinaDepartment of Cardiology, Fujian Provincial Institute of Coronary Disease, Fujian Heart Medical Center, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Cardiology, Fujian Provincial Institute of Coronary Disease, Fujian Heart Medical Center, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Cardiology, Fujian Provincial Institute of Coronary Disease, Fujian Heart Medical Center, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Cardiology, Fujian Provincial Institute of Coronary Disease, Fujian Heart Medical Center, Fujian Medical University Union Hospital, Fuzhou, ChinaObjective: The present study aims to investigate the incidence and predictors of atrial high-rate events (AHREs) in patients with permanent pacemaker implants.Methods: A total of 289 patients who were implanted with a dual-chamber pacemaker due to complete atrioventricular block or symptomatic sick sinus syndrome (SSS) and had no previous history of atrial fibrillation were included in the present study. AHREs are defined as events with an atrial frequency of ≥175 bpm and a duration of ≥5 min. The patients were divided into two groups according to whether or not AHREs were detected during the follow-up: group A (AHRE+, n = 91) and group N (AHRE–, n = 198).Results: During the 12-month follow-up period, AHREs were detected in 91 patients (31.5%). The multivariate Cox regression analysis revealed that patient age [odds ratio [OR] = 1.041; 95% confidence interval [CI], 1.018–1.064; and P < 0.001], pacemaker implantation due to symptomatic SSS (OR = 2.225; 95% CI, 1.227–4.036; and P = 0.008), and the percentage of atrial pacing after pacemaker implantation (OR = 1.010; 95% CI, 1.002–1.017; and P = 0.016) were independent AHRE predictors.Conclusion: The AHRE detection rate in patients with pacemaker implants was 31.5%. Patient age, pacemaker implantation due to symptomatic SSS, and the percentage of atrial pacing after pacemaker implantation were independent AHRE predictors.https://www.frontiersin.org/articles/10.3389/fcvm.2021.728885/fullatrial high-rate eventspacemakersick sinus syndromepercentage of atrial pacingcardiology |
| spellingShingle | Jian Hua Chen Guo Yao Chen Hong Zheng Quan He Chen Fa Yuan Fu Fei Long Zhang Liang Long Chen Wei Wei Wang Atrial High-Rate Event Incidence and Predictors in Patients With Permanent Pacemaker Implantation Frontiers in Cardiovascular Medicine atrial high-rate events pacemaker sick sinus syndrome percentage of atrial pacing cardiology |
| title | Atrial High-Rate Event Incidence and Predictors in Patients With Permanent Pacemaker Implantation |
| title_full | Atrial High-Rate Event Incidence and Predictors in Patients With Permanent Pacemaker Implantation |
| title_fullStr | Atrial High-Rate Event Incidence and Predictors in Patients With Permanent Pacemaker Implantation |
| title_full_unstemmed | Atrial High-Rate Event Incidence and Predictors in Patients With Permanent Pacemaker Implantation |
| title_short | Atrial High-Rate Event Incidence and Predictors in Patients With Permanent Pacemaker Implantation |
| title_sort | atrial high rate event incidence and predictors in patients with permanent pacemaker implantation |
| topic | atrial high-rate events pacemaker sick sinus syndrome percentage of atrial pacing cardiology |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2021.728885/full |
| work_keys_str_mv | AT jianhuachen atrialhighrateeventincidenceandpredictorsinpatientswithpermanentpacemakerimplantation AT guoyaochen atrialhighrateeventincidenceandpredictorsinpatientswithpermanentpacemakerimplantation AT hongzheng atrialhighrateeventincidenceandpredictorsinpatientswithpermanentpacemakerimplantation AT quanhechen atrialhighrateeventincidenceandpredictorsinpatientswithpermanentpacemakerimplantation AT fayuanfu atrialhighrateeventincidenceandpredictorsinpatientswithpermanentpacemakerimplantation AT feilongzhang atrialhighrateeventincidenceandpredictorsinpatientswithpermanentpacemakerimplantation AT lianglongchen atrialhighrateeventincidenceandpredictorsinpatientswithpermanentpacemakerimplantation AT weiweiwang atrialhighrateeventincidenceandpredictorsinpatientswithpermanentpacemakerimplantation |