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Long-term Prevention of Vagal Atrial Arrhythmias by Atrial Pacing at 90/Minute: Experience with 6 Cases
Six patients (5 men, 1 woman) with a history ranging from 3–16 years of resistant vagal atrial arrhythmias were treated by atrial pacing at a rate of 90Jmin. These patients have been followed up for an average of 5.5 years (range 2–11 years) with favorable resutls. The arrhythmias were charactemed b...
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Published in: | Pacing and clinical electrophysiology 1983-05, Vol.6 (3), p.552-560 |
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description | Six patients (5 men, 1 woman) with a history ranging from 3–16 years of resistant vagal atrial arrhythmias were treated by atrial pacing at a rate of 90Jmin. These patients have been followed up for an average of 5.5 years (range 2–11 years) with favorable resutls. The arrhythmias were charactemed by daily or weekly attacks of rypical alrial flutter and atrial fibrillalion occurring mainly or exclusively at night, at rest, or in the digestive periods in otherwise normal hearts of middle‐aged palients (first attack between 25 and 54, mean 40). The arrhythmias werc resistant to quinidinc, and were usually aggravated by digitalis, beta‐blockers and verapamil. Amiodaroneisusually the only effective drug in this syndrome, but was not used before pacing in the 2 first cases, and was in effective in the other 4 cases. Electrophysiologic studies confirmed the absence of sick sinus syndrome, and the close relationship betwecn a relative bradycardia and the onset of the arrhythmia. Atrial pacing alone totally controiled the arrhythmia in 1 palient; amiodarone was used in conjunction with pacing in 3 palients. In 1 patient the improvement was clear but incomplete, and in 1 patient permanent alrial fibrillation occurred shortly afler pacemaker implantalion. |
doi_str_mv | 10.1111/j.1540-8159.1983.tb05295.x |
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These patients have been followed up for an average of 5.5 years (range 2–11 years) with favorable resutls. The arrhythmias were charactemed by daily or weekly attacks of rypical alrial flutter and atrial fibrillalion occurring mainly or exclusively at night, at rest, or in the digestive periods in otherwise normal hearts of middle‐aged palients (first attack between 25 and 54, mean 40). The arrhythmias werc resistant to quinidinc, and were usually aggravated by digitalis, beta‐blockers and verapamil. Amiodaroneisusually the only effective drug in this syndrome, but was not used before pacing in the 2 first cases, and was in effective in the other 4 cases. Electrophysiologic studies confirmed the absence of sick sinus syndrome, and the close relationship betwecn a relative bradycardia and the onset of the arrhythmia. Atrial pacing alone totally controiled the arrhythmia in 1 palient; amiodarone was used in conjunction with pacing in 3 palients. In 1 patient the improvement was clear but incomplete, and in 1 patient permanent alrial fibrillation occurred shortly afler pacemaker implantalion.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/j.1540-8159.1983.tb05295.x</identifier><identifier>PMID: 6191292</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Arrhythmias, Cardiac - physiopathology ; Arrhythmias, Cardiac - prevention & control ; Atrial Fibrillation - prevention & control ; Atrial Flutter - prevention & control ; Cardiac Complexes, Premature - prevention & control ; Electrocardiography ; Female ; Follow-Up Studies ; Heart Atria - physiopathology ; Humans ; Male ; Middle Aged ; Tachycardia, Paroxysmal - prevention & control ; Vagus Nerve - physiopathology</subject><ispartof>Pacing and clinical electrophysiology, 1983-05, Vol.6 (3), p.552-560</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4082-21c0de83b1746df30099abe9ca5f8adfdf8aec995a669571533104bc4d72d5853</citedby><cites>FETCH-LOGICAL-c4082-21c0de83b1746df30099abe9ca5f8adfdf8aec995a669571533104bc4d72d5853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6191292$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>COUMEL, PHILIPPE</creatorcontrib><creatorcontrib>FRIOCOURT, PATRICK</creatorcontrib><creatorcontrib>MUGICA, JACQUES</creatorcontrib><creatorcontrib>ATTUEL, PATRICK</creatorcontrib><creatorcontrib>LECLERCQ, JEAN-FRANCOIS</creatorcontrib><title>Long-term Prevention of Vagal Atrial Arrhythmias by Atrial Pacing at 90/Minute: Experience with 6 Cases</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Six patients (5 men, 1 woman) with a history ranging from 3–16 years of resistant vagal atrial arrhythmias were treated by atrial pacing at a rate of 90Jmin. These patients have been followed up for an average of 5.5 years (range 2–11 years) with favorable resutls. The arrhythmias were charactemed by daily or weekly attacks of rypical alrial flutter and atrial fibrillalion occurring mainly or exclusively at night, at rest, or in the digestive periods in otherwise normal hearts of middle‐aged palients (first attack between 25 and 54, mean 40). The arrhythmias werc resistant to quinidinc, and were usually aggravated by digitalis, beta‐blockers and verapamil. Amiodaroneisusually the only effective drug in this syndrome, but was not used before pacing in the 2 first cases, and was in effective in the other 4 cases. Electrophysiologic studies confirmed the absence of sick sinus syndrome, and the close relationship betwecn a relative bradycardia and the onset of the arrhythmia. Atrial pacing alone totally controiled the arrhythmia in 1 palient; amiodarone was used in conjunction with pacing in 3 palients. In 1 patient the improvement was clear but incomplete, and in 1 patient permanent alrial fibrillation occurred shortly afler pacemaker implantalion.</description><subject>Adult</subject><subject>Aged</subject><subject>Arrhythmias, Cardiac - physiopathology</subject><subject>Arrhythmias, Cardiac - prevention & control</subject><subject>Atrial Fibrillation - prevention & control</subject><subject>Atrial Flutter - prevention & control</subject><subject>Cardiac Complexes, Premature - prevention & control</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Atria - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Tachycardia, Paroxysmal - prevention & control</subject><subject>Vagus Nerve - physiopathology</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><recordid>eNqVkE2P0zAQhi0EWsrCT0CyOHBL1o7txN4LqqpuAQXogY-j5TiT1iUfXdtl239PopbemcOM5HfmsfQg9I6SlI51t0up4CSRVKiUKsnSWBGRKZEen6HZNXqOZoTyIpFMqpfoVQg7QkhOuLhBNzlVNFPZDG3Kod8kEXyH1x7-QB_d0OOhwT_NxrR4Hr2bhvfbU9x2zgRcnf69ro11_QabiBW5--L6Q4R7vDzuwTvoLeAnF7c4xwsTILxGLxrTBnhzmbfox8Py--JjUn5bfVrMy8RyIrMko5bUIFlFC57XDSNEKVOBskY00tRNPXawSgmT50oUVDBGCa8sr4usFlKwW_T-zN374fEAIerOBQtta3oYDkFLIriknI6L9-dF64cQPDR6711n_ElToifLeqcnlXpSqSfL-mJZH8fjt5dfDlUH9fX0onXMP5zzJ9fC6T_Iej1fLIWYCMmZ4EKE45Vg_G-dF6wQ-tfXlSYPZbnmq89asL-1gJt6</recordid><startdate>198305</startdate><enddate>198305</enddate><creator>COUMEL, PHILIPPE</creator><creator>FRIOCOURT, PATRICK</creator><creator>MUGICA, JACQUES</creator><creator>ATTUEL, PATRICK</creator><creator>LECLERCQ, JEAN-FRANCOIS</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198305</creationdate><title>Long-term Prevention of Vagal Atrial Arrhythmias by Atrial Pacing at 90/Minute: Experience with 6 Cases</title><author>COUMEL, PHILIPPE ; FRIOCOURT, PATRICK ; MUGICA, JACQUES ; ATTUEL, PATRICK ; LECLERCQ, JEAN-FRANCOIS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4082-21c0de83b1746df30099abe9ca5f8adfdf8aec995a669571533104bc4d72d5853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arrhythmias, Cardiac - physiopathology</topic><topic>Arrhythmias, Cardiac - prevention & control</topic><topic>Atrial Fibrillation - prevention & control</topic><topic>Atrial Flutter - prevention & control</topic><topic>Cardiac Complexes, Premature - prevention & control</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Atria - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Tachycardia, Paroxysmal - prevention & control</topic><topic>Vagus Nerve - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>COUMEL, PHILIPPE</creatorcontrib><creatorcontrib>FRIOCOURT, PATRICK</creatorcontrib><creatorcontrib>MUGICA, JACQUES</creatorcontrib><creatorcontrib>ATTUEL, PATRICK</creatorcontrib><creatorcontrib>LECLERCQ, JEAN-FRANCOIS</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>COUMEL, PHILIPPE</au><au>FRIOCOURT, PATRICK</au><au>MUGICA, JACQUES</au><au>ATTUEL, PATRICK</au><au>LECLERCQ, JEAN-FRANCOIS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term Prevention of Vagal Atrial Arrhythmias by Atrial Pacing at 90/Minute: Experience with 6 Cases</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>1983-05</date><risdate>1983</risdate><volume>6</volume><issue>3</issue><spage>552</spage><epage>560</epage><pages>552-560</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Six patients (5 men, 1 woman) with a history ranging from 3–16 years of resistant vagal atrial arrhythmias were treated by atrial pacing at a rate of 90Jmin. These patients have been followed up for an average of 5.5 years (range 2–11 years) with favorable resutls. The arrhythmias were charactemed by daily or weekly attacks of rypical alrial flutter and atrial fibrillalion occurring mainly or exclusively at night, at rest, or in the digestive periods in otherwise normal hearts of middle‐aged palients (first attack between 25 and 54, mean 40). The arrhythmias werc resistant to quinidinc, and were usually aggravated by digitalis, beta‐blockers and verapamil. Amiodaroneisusually the only effective drug in this syndrome, but was not used before pacing in the 2 first cases, and was in effective in the other 4 cases. Electrophysiologic studies confirmed the absence of sick sinus syndrome, and the close relationship betwecn a relative bradycardia and the onset of the arrhythmia. Atrial pacing alone totally controiled the arrhythmia in 1 palient; amiodarone was used in conjunction with pacing in 3 palients. In 1 patient the improvement was clear but incomplete, and in 1 patient permanent alrial fibrillation occurred shortly afler pacemaker implantalion.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>6191292</pmid><doi>10.1111/j.1540-8159.1983.tb05295.x</doi><tpages>9</tpages></addata></record> |
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subjects | Adult Aged Arrhythmias, Cardiac - physiopathology Arrhythmias, Cardiac - prevention & control Atrial Fibrillation - prevention & control Atrial Flutter - prevention & control Cardiac Complexes, Premature - prevention & control Electrocardiography Female Follow-Up Studies Heart Atria - physiopathology Humans Male Middle Aged Tachycardia, Paroxysmal - prevention & control Vagus Nerve - physiopathology |
title | Long-term Prevention of Vagal Atrial Arrhythmias by Atrial Pacing at 90/Minute: Experience with 6 Cases |
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