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Survival and Follow-up After Pacemaker Implantation: A Comparison of Patients With Sick Sinus Syndrome, Complete Heart Block, and Atrial Fibrillation.

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Title: Survival and Follow-up After Pacemaker Implantation: A Comparison of Patients With Sick Sinus Syndrome, Complete Heart Block, and Atrial Fibrillation.
Authors: Alt, Eckhard1, Völker, Reinhard1, Wirtzfeld, Alexander1, Ulm, Kurt1
Source: Pacing & Clinical Electrophysiology. Nov1985, Vol. 8 Issue 6, p849-855. 7p.
Subjects: Cardiac pacemakers, Sick sinus syndrome, Atrial fibrillation, Heart block, Life expectancy, Arrhythmia, Artificial implants, Heart diseases, Implanted cardiovascular instruments
Abstract: The number of patients receiving cardiac pacemakers for sick sinus syndrome (SSS) has increased considerably in recent years. The literature has suggested that patients with sick sinus syndrome have a shorter life expectancy with pacemaker therapy than patients with total heart block or atrial fibrillation. We studied the survival rate of 1,049 patients with complete heart block, 592 with sick sinus syndrome and 447 with atrial fibrillation. After 10 years we found a survival rate of 54.5% for patients paced for SSS, 34.4% for those with complete heart block, and 24.7% for those with atrial fibrillation (statistical significance: SSS—heart block: p < 0.05: SSS—atrial fibrillation: p < 0.01; heart block—atrial fibrillation: NS). Considering the calculated survival rates of a comparable normal population (i.e., 56.5%; 41.2%; 47.8%), the differences in survival expectancy are even more pronounced (SSS-normal: NS; heart block-normal p < 0.05; atrial fibrillation-normal: p < 0.05). For patients with sick sinus syndrome, the life expectancy parallels that of the general population, while that of patients with complete heart block or atrial fibrillation have a life expectancy that is considerably lower. [ABSTRACT FROM AUTHOR]
Copyright of Pacing & Clinical Electrophysiology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Survival and Follow-up After Pacemaker Implantation: A Comparison of Patients With Sick Sinus Syndrome, Complete Heart Block, and Atrial Fibrillation.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Pacing+%26+Clinical+Electrophysiology%22&quot;&gt;Pacing &amp; Clinical Electrophysiology&lt;/searchLink&gt;. Nov1985, Vol. 8 Issue 6, p849-855. 7p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cardiac+pacemakers%22&quot;&gt;Cardiac pacemakers&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sick+sinus+syndrome%22&quot;&gt;Sick sinus syndrome&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Atrial+fibrillation%22&quot;&gt;Atrial fibrillation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Heart+block%22&quot;&gt;Heart block&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Life+expectancy%22&quot;&gt;Life expectancy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Arrhythmia%22&quot;&gt;Arrhythmia&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Artificial+implants%22&quot;&gt;Artificial implants&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Heart+diseases%22&quot;&gt;Heart diseases&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Implanted+cardiovascular+instruments%22&quot;&gt;Implanted cardiovascular instruments&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The number of patients receiving cardiac pacemakers for sick sinus syndrome (SSS) has increased considerably in recent years. The literature has suggested that patients with sick sinus syndrome have a shorter life expectancy with pacemaker therapy than patients with total heart block or atrial fibrillation. We studied the survival rate of 1,049 patients with complete heart block, 592 with sick sinus syndrome and 447 with atrial fibrillation. After 10 years we found a survival rate of 54.5% for patients paced for SSS, 34.4% for those with complete heart block, and 24.7% for those with atrial fibrillation (statistical significance: SSS—heart block: p &lt; 0.05: SSS—atrial fibrillation: p &lt; 0.01; heart block—atrial fibrillation: NS). Considering the calculated survival rates of a comparable normal population (i.e., 56.5%; 41.2%; 47.8%), the differences in survival expectancy are even more pronounced (SSS-normal: NS; heart block-normal p &lt; 0.05; atrial fibrillation-normal: p &lt; 0.05). For patients with sick sinus syndrome, the life expectancy parallels that of the general population, while that of patients with complete heart block or atrial fibrillation have a life expectancy that is considerably lower. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: &lt;i&gt;Copyright of Pacing &amp; Clinical Electrophysiology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/j.1540-8159.1985.tb05904.x
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 849
    Subjects:
      – SubjectFull: Cardiac pacemakers
        Type: general
      – SubjectFull: Sick sinus syndrome
        Type: general
      – SubjectFull: Atrial fibrillation
        Type: general
      – SubjectFull: Heart block
        Type: general
      – SubjectFull: Life expectancy
        Type: general
      – SubjectFull: Arrhythmia
        Type: general
      – SubjectFull: Artificial implants
        Type: general
      – SubjectFull: Heart diseases
        Type: general
      – SubjectFull: Implanted cardiovascular instruments
        Type: general
    Titles:
      – TitleFull: Survival and Follow-up After Pacemaker Implantation: A Comparison of Patients With Sick Sinus Syndrome, Complete Heart Block, and Atrial Fibrillation.
        Type: main
  BibRelationships:
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      – PersonEntity:
          Name:
            NameFull: Alt, Eckhard
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            NameFull: Völker, Reinhard
      – PersonEntity:
          Name:
            NameFull: Wirtzfeld, Alexander
      – PersonEntity:
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            NameFull: Ulm, Kurt
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          Dates:
            – D: 01
              M: 11
              Text: Nov1985
              Type: published
              Y: 1985
          Identifiers:
            – Type: issn-print
              Value: 01478389
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            – Type: volume
              Value: 8
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: Pacing & Clinical Electrophysiology
              Type: main
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