{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:08:22Z","timestamp":1791666502338,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Leadless pacemakers (LP) have significantly reduced device\u2010related complications compared with conventional systems, yet limitations in atrial pacing and atrioventricular (AV) synchrony restrict their widespread use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>We report an 87\u2010year\u2010old man with a history of stage 5 CKD on haemodialysis with complete AV block and a previously implanted Micra\u2010AV who developed symptomatic sinus node dysfunction. To restore AV synchrony and avoid transvenous implantation, an Abbott AVEIR AR atrial LP was implanted, achieving functional dual\u2010chamber leadless pacing. The procedure had no complications, and the follow\u2010up demonstrated 89% AV synchrony with symptomatic improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case demonstrates the feasibility of achieving a hybrid dual\u2010chamber leadless pacing system from two different manufacturers in selected patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70252","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T12:59:56Z","timestamp":1776085196000},"page":"1567-1572","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Breaking Frontiers\u2014Leadless Atrial\u2010Ventricular Hybrid Upgrade to Dual Chamber Leadless Pacemaker"],"prefix":"10.1111","volume":"49","author":[{"given":"Jo\u00e3o Mendes","family":"Cravo","sequence":"first","affiliation":[{"name":"Department of Cardiology ULS Santa Maria, Faculdade de Medicina, CAML, CCUL@RISE, Universidade de Lisboa  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diogo Rosa","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Cardiology ULS Santa Maria, Faculdade de Medicina, CAML, CCUL@RISE, Universidade de Lisboa  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Abreu","family":"Bernardes","sequence":"additional","affiliation":[{"name":"Department of Cardiology, ULS Santa Maria, Faculdade de Medicina Universidade de Lisboa  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9nia","family":"Coelho","sequence":"additional","affiliation":[{"name":"Department of Cardiology, ULS Santa Maria, Faculdade de Medicina Universidade de Lisboa  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emiliano Manuel","family":"Machado","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade (ULS) Litoral Alentejano  Santiago do Cac\u00e9m Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fausto J.","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Cardiology ULS Santa Maria, Faculdade de Medicina, CAML, CCUL@RISE, Universidade de Lisboa  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"de Sousa","sequence":"additional","affiliation":[{"name":"Department of Cardiology ULS Santa Maria, Faculdade de Medicina, CAML, CCUL@RISE, Universidade de Lisboa  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro N. C.","family":"Marques","sequence":"additional","affiliation":[{"name":"Department of Cardiology ULS Santa Maria, Faculdade de Medicina, CAML, CCUL@RISE, Universidade de Lisboa  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.05.004"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2023.1287506"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14062058"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1511643"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.006987"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2300080"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2021.12.025"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.122.010909"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.610303"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000115642.05037.0E"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199804163381602"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000039718"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.a2023.0035"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2024.102666"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrcr.2020.08.014"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.16173"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euaf291"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartjsupp\/suae119"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euaf074"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2022.12.012"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.a2023.0035"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70252","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70252","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70252","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:10:39Z","timestamp":1791256239000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70252"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":21,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/pace.70252"],"URL":"https:\/\/doi.org\/10.1111\/pace.70252","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"assertion":[{"value":"2025-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}