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Volume 353:1742-1744 October 20, 2005 Number 16
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Pacing for Atrioventricular Block

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by Ellenbogen, K. A.
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by Toff, W. D.
-PubMed Citation
To the Editor: The report by Toff and colleagues on the United Kingdom Pacing and Cardiovascular Events (UKPACE) trial (July 14 issue),1 evaluating cardiovascular end points in elderly patients with atrioventricular block, showed that the use of dual-chamber pacing to maintain atrioventricular synchrony conferred no survival advantage over the use of single-chamber pacing. These results may be considered along with those of recent trials involving patients with atrial fibrillation that showed a lack of mortality benefit associated with a strategy that maintains atrioventricular synchrony by restoring sinus rhythm.2 Perhaps the consequences of atrioventricular synchrony deserve closer inspection.

As Ellenbogen and . . . [Full Text of this Article]



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