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Correspondence
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Volume 339:630-632 August 27, 1998 Number 9
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Single-Chamber versus Dual-Chamber Pacemakers

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 by Lamas, G. A.
To the Editor: In their report on the Pacemaker Selection in the Elderly (PASE) trial, Lamas et al. (April 16 issue)1 compare single-chamber pacing (VVIR mode [ventricular pacing, ventricular sensing, inhibition response, rate-adaptive]) and dual-chamber pacing (DDDR mode [atrial and ventricular pacing, atrial and ventricular sensing, dual response, rate-adaptive]) in the elderly and conclude that there is no specific quality-of-life benefit for patients undergoing dual-chamber pacing as compared with those undergoing single-chamber pacing (a conclusion that the accompanying editorial notes will surprise most experts2). This conclusion is reached despite the fact that 26 percent of the patients assigned to . . . [Full Text of this Article]

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