STUDY OF HIGH RATE ATRIAL EPISODES IN PATIENTS WITH DUAL CHAMBER PACEMAKER AND ITS CORRELATION WITH THE BURDEN OF RIGHT VENTRICULAR PACING
El Badawi, T., Elsanhore, M., Elfiky, M., Soodhowa, S. (2025). STUDY OF HIGH RATE ATRIAL EPISODES IN PATIENTS WITH DUAL CHAMBER PACEMAKER AND ITS CORRELATION WITH THE BURDEN OF RIGHT VENTRICULAR PACING. EKB Journal Management System, 7(3), 58-59. doi: 10.21608/alexpo.2025.421036.2261
Tarek Hussein El Badawi; mohmed Elsanhore; Mohamed Khaled Elfiky; Sanjukta Soodhowa. "STUDY OF HIGH RATE ATRIAL EPISODES IN PATIENTS WITH DUAL CHAMBER PACEMAKER AND ITS CORRELATION WITH THE BURDEN OF RIGHT VENTRICULAR PACING". EKB Journal Management System, 7, 3, 2025, 58-59. doi: 10.21608/alexpo.2025.421036.2261
El Badawi, T., Elsanhore, M., Elfiky, M., Soodhowa, S. (2025). 'STUDY OF HIGH RATE ATRIAL EPISODES IN PATIENTS WITH DUAL CHAMBER PACEMAKER AND ITS CORRELATION WITH THE BURDEN OF RIGHT VENTRICULAR PACING', EKB Journal Management System, 7(3), pp. 58-59. doi: 10.21608/alexpo.2025.421036.2261
El Badawi, T., Elsanhore, M., Elfiky, M., Soodhowa, S. STUDY OF HIGH RATE ATRIAL EPISODES IN PATIENTS WITH DUAL CHAMBER PACEMAKER AND ITS CORRELATION WITH THE BURDEN OF RIGHT VENTRICULAR PACING. EKB Journal Management System, 2025; 7(3): 58-59. doi: 10.21608/alexpo.2025.421036.2261

STUDY OF HIGH RATE ATRIAL EPISODES IN PATIENTS WITH DUAL CHAMBER PACEMAKER AND ITS CORRELATION WITH THE BURDEN OF RIGHT VENTRICULAR PACING

ALEXMED ePosters
Volume 7, Issue 3, July 2025, Pages 58-59
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2025.421036.2261
Authors
Tarek Hussein El Badawi1; mohmed Elsanhore2; Mohamed Khaled Elfiky2; Sanjukta Soodhowa* 1
1Department of Cardiology and Angiology, Faculty of Medicine, Alexandria University.
2Department of Cardiology and Angiology, Faculty of Medicine, Alexandria University
Abstract
High rate atrial episodes (AHREs) are defined as atrial rate more than 180 beats per minute lasting more than 5 minutes as per European society of cardiology for cardiac pacing guidelines in patients with pacemaker. Cardiac pacing is recommended for patients with irreversible causes of sinus node dysfunction (SND) and atrioventricular block (AVB). Cardiac implantable electronic devices such as permanent pacemakers, cardiac resynchronization therapy devices can detect and store AHREs which is often a precursor for atrial fibrillation. Many previous studies have shown that patients implanted with dual chamber pacemaker have an incidence of AHREs of 20 -50%. Right ventricular pacing (VP) is the mainstay in treatment of patients diagnosed with SND or AVB with preserved ejection fraction. Frequent right vp in some cases promote irregular heart rhythms and contribute to high atrial rate episodes. Our study showed that the AHREs duration, number and rate of episodes were correlated with high right VP.



AIM OF THE WORK

The aim of the study was to determine the incidence of high rate atrial episodes (AHRE) in patients who have no known history of atrial fibrillation (AF) before dual chamber pacemaker implantation and its correlation with the percentage of right ventricular pacing.
Keywords
AHREs; SND; AVB; VP
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