{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:43:21Z","timestamp":1762004601047},"reference-count":26,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,7,23]],"date-time":"2014-07-23T00:00:00Z","timestamp":1406073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Atrial Pacing Site and AV Conduction<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Unnecessary ventricular pacing in sinus node disease (SND) must be avoided. To test the hypothesis that in SND, with or without 1st degree atrioventricular (AV) block, cumulative percent ventricular pacing (cum%VP) can be limited by low right atrial septal (LRAS) instead of right atrial appendage (RAA) pacing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied 102 dual\u2010chamber pacemaker recipients with SND. The PQ interval on 12\u2010lead electrocardiogram and the atrial paced to ventricular sensed interval (Ap\u2010Vs) during LRAS and RAA pacing were measured and compared at implantation, 3 months and 1 year of follow\u2010up. Group 1 included 62 patients with baseline PQ interval &lt;200\u00a0milliseconds during LRAS (n = 28) versus RAA (n = 34) pacing. Group 2 included 40 patients with baseline PQ \u2265200 milliseconds during LRAS (n = 20) versus RAA (n = 20) pacing. cum%VP were measured at 3 months and 1 year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The characteristics and AV conduction properties were similar and the Ap\u2010Vs interval was significantly shorter in the LRAS than in the RAA pacing group up to 1 year (193 \u00b1 32 milliseconds vs. 220 \u00b1 27 milliseconds in Group 1; P = 0.003, 222 \u00b1 41 milliseconds vs. 281 \u00b1 30 milliseconds in Group 2; P &lt; 0.001). While cumulative percent atrial pacing was consistently similar, cum%VP was significantly smaller during LRAS than RAA pacing (1 \u00b1 1% vs. 8 \u00b1 18% in Group 1; P = 0.03, 7 \u00b1 10% vs. 48 \u00b1 38% in Group 2; P &lt; 0.001). Similar observations were made with or without left atrial (LA) enlargement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with RAA, LRAS pacing showed shorter AV interval in SND patients with or without 1st degree AV block and LA enlargement. This beneficial effect persisted through 1\u2010year follow\u2010up, and decreased cum%VP significantly.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.12476","type":"journal-article","created":{"date-parts":[[2014,6,20]],"date-time":"2014-06-20T11:50:28Z","timestamp":1403265028000},"page":"1224-1231","source":"Crossref","is-referenced-by-count":5,"title":["Atrial Pacing Site and Atrioventricular Conduction in Patients Paced for Sinus Node Disease"],"prefix":"10.1111","volume":"25","author":[{"given":"TAICHI","family":"WATABE","sequence":"first","affiliation":[{"name":"Second Department of Internal Medicine University of Occupational and Environmental Health  Kitakyushu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HARUHIKO","family":"ABE","sequence":"additional","affiliation":[{"name":"Department of Heart Rhythm Management University of Occupational and Environmental Health  Kitakyushu 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