Dian A Munawar, Rajiv Mahajan, Thomas A Agbaedeng, Anand Thiyagarajah, Darragh J Twomey, Kashif Khokar, Catherine O'Shea, Glenn D Young, Kurt C Roberts-Thomson, Muhammad Munawar, Dennis H Lau, Prashanthan Sanders
BACKGROUND: Atrial fibrillation (AF) is common after pacemaker implantation. Nevertheless, the impact of pacemaker algorithms in AF prevention is not well understood. OBJECTIVES: To evaluate the role of pacing algorithms in preventing AF progression. METHODS: A systematic search of articles using PUBMED and EMBASE database resulted in a total of 754 references. After exclusions, 21 randomized controlled trials (8,336 patients) were analysed, comprising studies reporting ventricular pacing percentage (VP%) (AAI vs DDD, n=1; and reducing ventricular pacing (RedVP) algorithms, n=2), atrial pacing therapies (atrial preference pacing (APP), n=14; antitachycardia pacing (aATP)+APP,n=3; and RedVP+APP+aATP,n=1)...
February 14, 2019: Heart Rhythm: the Official Journal of the Heart Rhythm Society