{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T15:59:29Z","timestamp":1740153569737,"version":"3.37.3"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,5,28]],"date-time":"2018-05-28T00:00:00Z","timestamp":1527465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2018,8]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>In pacemaker\u2010dependent patients, the risk of asystole must be managed during device replacement. This study aimed to examine whether we could predict the indication for temporary pacing (TP<\/jats:styled-content>) during the generator replacement.<\/jats:p><\/jats:sec>Methods<\/jats:title>We studied 105 consecutive patients who underwent pacemaker replacement due to battery depletion at Juntendo Nerima Hospital between September 2005 and December 2016. We examined the relationship between the stability of the intrinsic rhythm (IR<\/jats:styled-content>) during pacemaker replacement and several clinical factors including age, gender, sick sinus syndrome or atrioventricular (AV<\/jats:styled-content>) block, duration of pacing, structural heart disease, use of anti\u2010arrhythmic drugs, and the presence\/absence of a stable IR<\/jats:styled-content> (>40 bpm) at the outpatient clinic (OPC<\/jats:styled-content>) just before pacemaker replacement.<\/jats:p><\/jats:sec>Results<\/jats:title>Of the 105 patients, we excluded 1 patient who required TP<\/jats:styled-content> because of bradycardia\u2010dependent torsades de points. Therefore, we evaluated 104 patients for the indication for TP<\/jats:styled-content>. TP<\/jats:styled-content> was underwent in 19 patients (18%) because of an absence or instability of the IR<\/jats:styled-content> during pacemaker replacement. The indication for TP<\/jats:styled-content> was significantly correlated with AV<\/jats:styled-content> block (84% vs 48%, P<\/jats:italic> = .0044) and the absence of a stable IR<\/jats:styled-content> at the last OPC<\/jats:styled-content> visit (89% vs 24%, P<\/jats:italic> < .0001). For predicting the indication for TP<\/jats:styled-content>, the following values of no stable IR<\/jats:styled-content> at the last OPC<\/jats:styled-content> visit were obtained: 89% sensitivity, 77% specificity, 46% positive predictive value, and 97% negative predictive value.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The presence of a stable IR<\/jats:styled-content> at the last OPC<\/jats:styled-content> visit was a good predictor (97%) of no indication for TP<\/jats:styled-content> during pacemaker replacement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12072","type":"journal-article","created":{"date-parts":[[2018,5,28]],"date-time":"2018-05-28T09:50:50Z","timestamp":1527501050000},"page":"450-454","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stability of intrinsic rhythm in pacemaker\u2010dependent patients during pacemaker replacement: Can we predict the need for temporary pacing?"],"prefix":"10.1002","volume":"34","author":[{"given":"Yuki","family":"Kimura","sequence":"first","affiliation":[{"name":"Department of Cardiology Juntendo University Nerima Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2644-6356","authenticated-orcid":false,"given":"Masataka","family":"Sumiyoshi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Juntendo University Nerima Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Cardiology Juntendo University Nerima Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Shiozaki","sequence":"additional","affiliation":[{"name":"Department of Cardiology Juntendo University Nerima Hospital Tokyo 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