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THE CLINICAL OUTCOME AND THE INCIDENCE OF PACEMAKER SYNDROME IN VVIR PACED PATIENTSKeywords: right ventricular pacing , AV dyssynchrony syndrome , pacemaker syndrome , VVI = ventricular-based pacing , VVIR = rate modulated ventricular-based pacing Abstract: Pacemaker therapy has become an important therapeutic option for patients with heart rhythm conditions worldwide. In Romania in the last decade pacing is playing an increasingly important role in the management of cardiac disease.A few years after the introduction of pacing therapies, the general practitioners and cardiologists realized that despite of the relief of life-threatening arrhythmias in paced patients, the changes in the hemodynamic and humor status may influence the clinical outcome, prognosis and the quality of life after cardio stimulation and be followed by a deterioration of the patients’ condition.This study evaluates the clinical outcome and the incidence and predictors of the pacemaker syndrome in 547 patients with ventricular-based (VVIR) pacing, implanted in “Sf. Ioan” Hospital, Bucharest, over a period of 7 years.
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