Single-lead VDD pacing: a literature review on short-term and long-term performance.

IF 2.9 3区医学 Q3 ENGINEERING, BIOMEDICAL

Expert Review of Medical Devices Pub Date : 2023-03-01 DOI:10.1080/17434440.2023.2178901

Davide Antonio Mei, Jacopo Francesco Imberti, Marco Vitolo, Niccolò Bonini, Luigi Gerra, Giulio Francesco Romiti, Marco Proietti, Gregory Y H Lip, Giuseppe Boriani

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引用次数: 2

Abstract

Introduction: VDD pacing system was introduced more than 30 years ago. Its use is considered by the 2021 European Society of Cardiology guidelines on cardiac pacing as a potential alternative to dual chambers system for patients with atrioventricular block and normal sinus node function.

Areas covered: In this article, we performed a narrative review of current literature in order to identify the strengths and weaknesses of this pacing system. VDD system allows the maintenance of AV synchronous pacing and its hemodynamic advantages. Some disadvantages may be related to the non-negligible incidence of atrial undersensing and the possible subsequent need for upgrade to DDD system. On the other hand, shorter implantation time and lower complications rate may be advantages.

Expert opinion: In the modern pacing era, VDD pacing system struggles to find its own space. However, it may still be considered as a valuable alternative to a dual-chamber pacemaker for selected patients, in specific clinical scenarios.

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单导联VDD起搏:短期和长期性能的文献综述。

简介:VDD起搏系统是30多年前推出的。2021年欧洲心脏病学会心脏起搏指南认为，对于房室传导阻滞和窦房结功能正常的患者，它是双室系统的潜在替代方案。涉及领域:在本文中，我们对当前文献进行了叙述性回顾，以确定该节奏系统的优点和缺点。VDD系统可维持房室同步起搏及其血流动力学优势。一些缺点可能与不可忽视的心房感应不足发生率和可能随后需要升级到DDD系统有关。另一方面，较短的植入时间和较低的并发症发生率可能是优势。专家意见:在现代起搏时代，VDD起搏系统努力寻找自己的空间。然而，在特定的临床情况下，它可能仍然被认为是有价值的替代双室起搏器的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Medical Devices 医学-工程：生物医学

CiteScore

5.90

自引率

3.20%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal serves the device research community by providing a comprehensive body of high-quality information from leading experts, all subject to rigorous peer review. The Expert Review format is specially structured to optimize the value of the information to reader. Comprehensive coverage by each author in a key area of research or clinical practice is augmented by the following sections: Expert commentary - a personal view on the most effective or promising strategies Five-year view - a clear perspective of future prospects within a realistic timescale Key issues - an executive summary cutting to the author''s most critical points In addition to the Review program, each issue also features Medical Device Profiles - objective assessments of specific devices in development or clinical use to help inform clinical practice. There are also Perspectives - overviews highlighting areas of current debate and controversy, together with reports from the conference scene and invited Editorials.