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Europace Advance Access originally published online on July 16, 2009
Europace 2009 11(9):1151-1155; doi:10.1093/europace/eup195
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.


REVIEWS

Pacemaker dependency after implantation of electrophysiological devices

Panagiotis Korantzopoulos1,*, Konstantinos P. Letsas2, George Grekas1 and John A. Goudevenos1

1 Department of Cardiology, University of Ioannina Medical School, 45110 Ioannina, Greece; 2 Second Department of Cardiology, ‘Evangelismos’ General Hospital of Athens 10676 Athens, Greece

Pacemaker dependency is observed in an appreciable number of chronically paced patients. Although there is no standard definition, pacemaker dependency has a significant impact on the management of patients in several clinical settings. In this review, we provide a comprehensive overview of the available data regarding definition, testing, clinical significance, epidemiology, and mechanisms of pacemaker dependency. Several issues regarding the underlying pathophysiology remain obscure and the potential value of interventions that may alter its incidence, clinical course, and consequences remains to be elucidated.

Key Words: Pacing, Permanent pacemakers, Pacemaker dependency, Pacing dependent, Complications, AV junction ablation


* Corresponding author. Tel: +30-26510-09347, Fax: +30-26510-07017, Email: p.korantzopoulos{at}yahoo.gr; pan-kor{at}mailbox.gr

Manuscript submitted 28 April 2009. Accepted after revision 25 June 2009.


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