{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T22:15:14Z","timestamp":1726179314520},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,5,6]],"date-time":"2015-05-06T00:00:00Z","timestamp":1430870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Ventriculo\u2010atrial (VA) conduction can have negative consequences for patients with implanted pacemakers and defibrillators. There is concern whether impaired VA conduction could recover during stressful situations. Although the influence of isoproterenol and atropine are well established, the effect of adrenaline has not been studied systematically. The objective of this study was <jats:bold>t<\/jats:bold>o determine if adrenaline can facilitate recovery of VA conduction in patients implanted with pacemakers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective study was conducted on 61 consecutive patients during a 4\u2010month period (April\u2013July 2014). The presence of VA conduction was assessed during the pacemaker implantation procedure. In case of an impaired VA conduction, adrenaline infusio was used as a stress surrogate to test conduction recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The indications for pacemaker implantation were: sinus node dysfunction in 18 patients, atrioventricular (AV) block in 40 patients, binodal dysfunction (sinus node+ AV node) in two patients and other (carotid sinus syndrome) in one patient. In the basal state, 15\/61 (24.6%) presented spontaneous VA conduction and 46\/61 (75.4%) had no VA conduction. After administration of adrenaline, there was VA conduction recovery in 5\/46 (10.9%) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adrenaline infusion produced recovery of VA conduction in 10.9% of patients with absent VA conduction in a basal state. Recovery of VA conduction during physiological or pathological stresses could be responsible for the pacemaker syndrome, PMT episodes, or certain implantable cardiac defibrillator detection issues.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.12641","type":"journal-article","created":{"date-parts":[[2015,4,8]],"date-time":"2015-04-08T09:50:07Z","timestamp":1428486607000},"page":"857-863","source":"Crossref","is-referenced-by-count":2,"title":["Recovery of Ventriculo\u2010Atrial Conduction after Adrenaline in Patients Implanted with Pacemakers"],"prefix":"10.1111","volume":"38","author":[{"given":"GABRIEL","family":"CISMARU","sequence":"first","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GABRIEL","family":"GUSETU","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LUCIAN","family":"MURESAN","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RADU","family":"ROSU","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARIUS","family":"ANDRONACHE","sequence":"additional","affiliation":[{"name":"CHU de Nancy, Department of Cardiology University Hospital Nancy  France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ROXANA","family":"MATUZ","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MIHAI","family":"PUIU","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PETRU","family":"MESTER","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARIA","family":"MICLAUS","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DANA","family":"POP","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PETRU ADRIAN","family":"MIRCEA","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Medical Clinic No 1 University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DUMITRU","family":"ZDRENGHEA","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rehabilitation Hospital University of Medicine and Pharmacy \u201cIuliuHatieganu,\u201d Cluj\u2010Napoca  Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,6]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"SS Barold MD Falkoff LS HR Ong 1990 W.B. 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