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Ann Thorac Surg 1980;29:91-98
© 1980 The Society of Thoracic Surgeons

Articles

Atrioventricular Sequential Pacemakers: Indications, Complications, and Long-Term Follow-up

James J. Yashar, M.D.*, David L. Kitzes, M.D., Mohammad Arif, M.D., Richard A. Carleton, M.D., Mauricio Goldberg, M.D., Ralph J. Burnard, M.D., Albert K. Weyman, M.D., John Yashar, M.D.

Department of Surgery, Brown University, and Surgical Services, Miriam Hospital and Roger Williams General Hospital, Providence, Memorial Hospital, Pawtucket, and Woonsocket Hospital, Woonsocket, RI

* Address reprint requests to Dr. James Yashar, One Randall Square, Providence, RI 02904

Our experience with 32 patients with atrioventricular (AV) sequential pacemakers and an average follow-up of 22 months is presented. The pertinent literature and physiology are reviewed. The indications, advantages, and complications of AV sequential pacemakers are analyzed. Half of the patients required bifocal pacing for control of arrhythmia alone, while half required control of arrhythmia associated with congestive heart failure due primarily to a noncompliant left ventricle. It is anticipated that the hemodynamic improvement occurring as a result of AV sequential pacing will increase the use of this mode of cardiac pacing in selected patients.




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