Previously submitted to: JMIR Cardio (no longer under consideration since Jun 24, 2025)
Date Submitted: Nov 11, 2024
Open Peer Review Period: Nov 13, 2024 - Jan 8, 2025
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Predicting factors of heart arrhythmia in patients with permanent heart pacemaker
ABSTRACT
Background:
This study investigates factors predicting arrhythmia after permanent pacemaker placement for atrioventricular block and sinus node dysfunction. Pacemakers are essential in managing arrhythmias, and continuous monitoring helps detect significant arrhythmias post-implantation. Identifying predictive factors aids in optimizing treatment and ensuring long-term pacemaker efficacy.
Objective:
Identify some factors predicting arrhythmia after permanent pacemaker placement to treat atrioventricular block and sinus node dysfunction
Methods:
Prospective study in 312 patients with permanent pacemakers due to atrioventricular block and sinus node dysfunction being monitored at Thong Nhat Hospital and Thu Duc city hospital from March 2022 to September 2022
Results:
The rate of arrhythmia after pacemaker insertion was 41%, of which 20.2% atrial fibrillation; 10.9% atrial tachycardia; 1.3% sinus arrest; 9.9% ventricular premature beats; 1.3% ventricular tachycardia and 2.2% supraventricular tachycardia. Factors that determine the possibility of arrhythmia after permanent pacemaker placement include ejection fraction index, blood potassium, blood chloride, blood HDL-Cholesterol concentration, smoking and pacemaker mode (VVIR). /DDDR).
Conclusions:
Cardiac arrhythmia in patients with permanent pacemakers is always likely to occur, related factors predict 57.8% of the possibility of this event occurring.
Citation
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