Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Iatrogenic bradyarrhythmia: previous conduction disturbances predicted need for permanent pacing
Session:
Painel 4- Arritmologia 3
Speaker:
Ana Fátima Esteves
Congress:
CPC 2020
Topic:
C. Arrhythmias and Device Therapy
Theme:
07. Syncope and Bradycardia
Subtheme:
07.2 Syncope and Bradycardia - Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Ana Fátima Esteves; Leonor Parreira; Rita Marinheiro; Marta Ferreira Fonseca; José Maria Farinha; Antonio Pinheiro Cumena Candjondjo; Joana Silva Ferreira; Dinis Valbom Mesquita; Pedro Campos Amador; Artur Lopes; Nuno J. Fonseca; Rui Caria
Abstract
<p><em>Background</em>: In bradyarrhythmia due to negative chronotropic medication, the need for permanent pacing after drug discontinuation is not always straightforward.</p> <p><em>Purpose</em>: Evaluate prevalence and predictors of the need of permanent pacing in patients with symptomatic bradyarrhythmia under negative chronotropic drugs.</p> <p><em>Methods</em>: We retrospectively studied patients admitted to the emergency room between January 2012 and December 2018 with symptomatic bradyarrhythmia who were under negative chronotropic drugs. We analysed patient demographic factors, previous medical history or electrocardiographic abnormalities and concomitant drugs. We evaluated the laboratory results, electrocardiographic and echocardiographic parameters at admission. During follow-up we analysed mortality, re-hospitalizations and device implantation. We used cox regression to assess the predictors of device implantation.</p> <p><em>Results</em>: 85 patients, were admitted to the emergency room, 47% male, median age 81 (76-87) years.</p> <p>Patient characteristics are described in Table 1.</p> <p>The majority of patients (39, 46%) were admitted with syncope/presyncope and presented with complete AV block (62 patients, 73%). 17 (20%) patients needed temporary pacing and 60 (71%) patients needed permanent pacing, which was implanted during index-hospitalization in 78 (92%) patients. Intra-hospital mortality was 5% (4 patients). During a median follow-up of 66 months, 31 (36%) patients were re-hospitalized and 7 (8%) needed device implantation. Global mortality was 26%.</p> <p>In univariate analysis, previous bundle branch block predicted the need for permanent pacing, while presence of atrial fibrillation, antipsychotic/antidepressant use, acute kidney failure and hypo/hyperkalaemia precluded its requirement.</p> <p>In multivariate analysis, previous bundle branch block was the only independent predictor of the need for permanent pacing (Table 2).</p> <p><em>Conclusion</em>: In this group of patients with iatrogenic symptomatic bradyarrhythmia, the need for permanent pacing was independently associated with the presence of previous conduction disturbances.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site