The Impact of Differential Atrioventricular Delays on Arterial Distensibility Measured by Pulse Wave Velocity in Patients with Dual-chamber Pacing
Objective:Atrioventricular (AV) delay optimization improves hemodynamics and clinical parameters of patients treated with dual-chamber (DDD) pacemakers. Pulse wave velocity (PWV) is an index of arterial stiffness and a marker of cardiovascular events. Increased levels of PWV is an indicator of diffu...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2023-03-01
|
| Series: | Bagcilar Medical Bulletin |
| Subjects: | |
| Online Access: |
http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-mpact-of-differential-atrioventricular-delays-/58908
|
| _version_ | 1797884353206812672 |
|---|---|
| author | Betül Balaban Kocaş Gökhan Çetinkal Mustafa Yıldız |
| author_facet | Betül Balaban Kocaş Gökhan Çetinkal Mustafa Yıldız |
| author_sort | Betül Balaban Kocaş |
| collection | DOAJ |
| description | Objective:Atrioventricular (AV) delay optimization improves hemodynamics and clinical parameters of patients treated with dual-chamber (DDD) pacemakers. Pulse wave velocity (PWV) is an index of arterial stiffness and a marker of cardiovascular events. Increased levels of PWV is an indicator of diffuse atherosclerosis and rigid arteries. We aimed to investigate the impact of differential AV delay intervals (100, 150 and 200 ms respectively) on arterial distensibility measured by carotid-femoral PWV in patients with DDD pacing.Method:A total of 40 patients with DDD pacing were enrolled in our prospective study. PWV was measured for each AV delay (100 ms, 150 ms and 200 ms respectively) with 10 minute resting intervals. Pacing was programmed at least 10 beats/minute above the resting heart rate. PWV was automatically calculated by using the device, Complior Colson (France), which allows online pulse wave recording according to this formula: PWV(m/s) = distance (meter)/transit time (second).Results:There was a statistically obvious positive correlation between carotid-femoral PWV and prolongation of AV delay interval (p<0.001). According to gender analysis; weight, height and waist-hip ratio values were significantly higher in male group. Additionally, there was not a statistically significant difference between groups in terms of age, body mass index, mean, systolic and diastolic blood pressure, pulse pressure and PWV measured at differential AV delay intervals.Conclusion:Prolongation of AV delay interval increased carotid-femoral PWV values thereby decreased arterial distensibility in patients with DDD pacing. Therefore, optimum AV delay adjustment may provide better hemodynamics in these patients. |
| first_indexed | 2024-04-10T04:06:03Z |
| format | Article |
| id | doaj.art-93e4a4e359bc4aea81fe72b9a3c7f17b |
| institution | Directory Open Access Journal |
| issn | 2547-9431 |
| language | English |
| last_indexed | 2024-04-10T04:06:03Z |
| publishDate | 2023-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Bagcilar Medical Bulletin |
| spelling | doaj.art-93e4a4e359bc4aea81fe72b9a3c7f17b2023-03-13T06:16:09ZengGalenos YayineviBagcilar Medical Bulletin2547-94312023-03-0181889310.4274/BMB.galenos.2023.2023-03-02013049054The Impact of Differential Atrioventricular Delays on Arterial Distensibility Measured by Pulse Wave Velocity in Patients with Dual-chamber PacingBetül Balaban Kocaş0Gökhan Çetinkal1Mustafa Yıldız2 University of Health Sciences Turkey, Prof. Dr. Cemil Taşcıoğlu City Hospital, Clinic of Cardiology, İstanbul, Turkey University of Health Sciences Turkey, Prof. Dr. Cemil Taşcıoğlu City Hospital, Clinic of Cardiology, İstanbul, Turkey İstanbul University-Cerrahpaşa, Institute of Cardiology, İstanbul, Turkey Objective:Atrioventricular (AV) delay optimization improves hemodynamics and clinical parameters of patients treated with dual-chamber (DDD) pacemakers. Pulse wave velocity (PWV) is an index of arterial stiffness and a marker of cardiovascular events. Increased levels of PWV is an indicator of diffuse atherosclerosis and rigid arteries. We aimed to investigate the impact of differential AV delay intervals (100, 150 and 200 ms respectively) on arterial distensibility measured by carotid-femoral PWV in patients with DDD pacing.Method:A total of 40 patients with DDD pacing were enrolled in our prospective study. PWV was measured for each AV delay (100 ms, 150 ms and 200 ms respectively) with 10 minute resting intervals. Pacing was programmed at least 10 beats/minute above the resting heart rate. PWV was automatically calculated by using the device, Complior Colson (France), which allows online pulse wave recording according to this formula: PWV(m/s) = distance (meter)/transit time (second).Results:There was a statistically obvious positive correlation between carotid-femoral PWV and prolongation of AV delay interval (p<0.001). According to gender analysis; weight, height and waist-hip ratio values were significantly higher in male group. Additionally, there was not a statistically significant difference between groups in terms of age, body mass index, mean, systolic and diastolic blood pressure, pulse pressure and PWV measured at differential AV delay intervals.Conclusion:Prolongation of AV delay interval increased carotid-femoral PWV values thereby decreased arterial distensibility in patients with DDD pacing. Therefore, optimum AV delay adjustment may provide better hemodynamics in these patients. http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-mpact-of-differential-atrioventricular-delays-/58908 atrioventricular delay intervaldual-chamber pacemakerpulse wave velocity |
| spellingShingle | Betül Balaban Kocaş Gökhan Çetinkal Mustafa Yıldız The Impact of Differential Atrioventricular Delays on Arterial Distensibility Measured by Pulse Wave Velocity in Patients with Dual-chamber Pacing Bagcilar Medical Bulletin atrioventricular delay interval dual-chamber pacemaker pulse wave velocity |
| title | The Impact of Differential Atrioventricular Delays on Arterial Distensibility Measured by Pulse Wave Velocity in Patients with Dual-chamber Pacing |
| title_full | The Impact of Differential Atrioventricular Delays on Arterial Distensibility Measured by Pulse Wave Velocity in Patients with Dual-chamber Pacing |
| title_fullStr | The Impact of Differential Atrioventricular Delays on Arterial Distensibility Measured by Pulse Wave Velocity in Patients with Dual-chamber Pacing |
| title_full_unstemmed | The Impact of Differential Atrioventricular Delays on Arterial Distensibility Measured by Pulse Wave Velocity in Patients with Dual-chamber Pacing |
| title_short | The Impact of Differential Atrioventricular Delays on Arterial Distensibility Measured by Pulse Wave Velocity in Patients with Dual-chamber Pacing |
| title_sort | impact of differential atrioventricular delays on arterial distensibility measured by pulse wave velocity in patients with dual chamber pacing |
| topic | atrioventricular delay interval dual-chamber pacemaker pulse wave velocity |
| url |
http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-mpact-of-differential-atrioventricular-delays-/58908
|
| work_keys_str_mv | AT betulbalabankocas theimpactofdifferentialatrioventriculardelaysonarterialdistensibilitymeasuredbypulsewavevelocityinpatientswithdualchamberpacing AT gokhancetinkal theimpactofdifferentialatrioventriculardelaysonarterialdistensibilitymeasuredbypulsewavevelocityinpatientswithdualchamberpacing AT mustafayıldız theimpactofdifferentialatrioventriculardelaysonarterialdistensibilitymeasuredbypulsewavevelocityinpatientswithdualchamberpacing AT betulbalabankocas impactofdifferentialatrioventriculardelaysonarterialdistensibilitymeasuredbypulsewavevelocityinpatientswithdualchamberpacing AT gokhancetinkal impactofdifferentialatrioventriculardelaysonarterialdistensibilitymeasuredbypulsewavevelocityinpatientswithdualchamberpacing AT mustafayıldız impactofdifferentialatrioventriculardelaysonarterialdistensibilitymeasuredbypulsewavevelocityinpatientswithdualchamberpacing |