Advances in Clinical and Experimental Medicine
Ahead of print
doi: 10.17219/acem/157239
Publication type: review
Language: English
License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)
Download citation:
Cite as:
Wu Y, Xu H, Tu X, Gao Z. Review of the epidemiology, pathogenesis and prevention of atrial fibrillation after pacemaker implantation [published online as ahead of print on January March 6, 2023]. Adv Clin Exp Med. 2023. doi:10.17219/acem/157239
Review of the epidemiology, pathogenesis and prevention of atrial fibrillation after pacemaker implantation
1 Department of Cardiology, Quzhou Affiliated Hospital of Wenzhou Medical University – Quzhou People’s Hospital, China
Abstract
Cardiac pacemaker implantation is an important treatment for symptomatic bradycardia. However, epidemiological data show that the incidence of atrial fibrillation (AF) is significantly higher in patients with implanted pacemakers than in the general population, which may be related to the preoperative presence of multiple risk factors for AF, improvement of diagnostic sensitivity and the pacemaker itself. The pathogenesis of AF after the implantation of pacemaker is related to cardiac electrical remodeling, structural remodeling, inflammation, and autonomic nervous disorder, which are induced by the pacemaker. Moreover, different pacing modes and pacing sites have various effects on the pathogenesis of postoperative AF. Recent studies have reported that reducing the proportion of ventricular pacing, improving the pacing site and setting up special pacing procedures might be highly useful in prevention of AF after pacemaker implantation. This article reviews the epidemiology, pathogenesis, influencing factors, and preventive measures regarding AF after pacemaker surgery.
Key words
pathogenesis, atrial fibrillation, pacemaker implantation, pacing modes, pacing sites
Graphical abstract

References (137)
- Biffi M, Capobianco C, Spadotto A, et al. Pacing devices to treat bradycardia: Current status and future perspectives. Exp Rev Med Devices. 2021;18(2):161–177. doi:10.1080/17434440.2021.1866543
- Bukari A, Wali E, Deshmukh A, et al. Prevalence and predictors of atrial arrhythmias in patients with sinus node dysfunction and atrial pacing. J Interv Card Electrophysiol. 2018;53(3):365–371. doi:10.1007/s10840-018-0463-7
- Chu SY, Jiang J, Wang YL, Sheng QH, Zhou J, Ding YS. Pacemaker-detected atrial fibrillation burden and risk of ischemic stroke or thromboembolic events: A cohort study. Heart Lung. 2020;49(1):66–72. doi:10.1016/j.hrtlng.2019.07.007
- Tayal B, Riahi S, Sogaard P, et al. Risk of atrial fibrillation after pacemaker implantation: A nationwide Danish registry-based follow-up study. J Electrocardiol. 2020;63:153–158. doi:10.1016/j.jelectrocard.2019.09.021
- Boriani G, Sakamoto Y, Botto G, et al. Prevention of long‐lasting atrial fibrillation through antitachycardia pacing in DDDR pacemakers. Int J Clin Pract. 2021;75(3):e13820. doi:10.1111/ijcp.13820
- Kornej J, Börschel CS, Benjamin EJ, Schnabel RB. Epidemiology of atrial fibrillation in the 21st century: Novel methods and new insights. Circ Res. 2020;127(1):4–20. doi:10.1161/CIRCRESAHA.120.316340
- Chen XL, Ren XJ, Liang Z, Han ZH, Zhang T, Luo Z. Analyses of risk factors and prognosis for new-onset atrial fibrillation in elderly patients after dual-chamber pacemaker implantation. J Geriatr Cardiol. 2018;15(10):628–633. doi:10.11909/j.issn.1671-5411.2018.10.008
- Nielsen JC. Mortality and incidence of atrial fibrillation in paced patients. J Cardiovasc Electrophysiol. 2002;13(S1):S17–S22. doi:10.1111/j.1540-8167.2002.tb01948.x
- Connolly SJ, Kerr CR, Gent M, et al. Effects of physiologic pacing versus ventricular pacing on the risk of stroke and death due to cardiovascular causes. N Engl J Med. 2000;342(19):1385–1391. doi:10.1056/NEJM200005113421902
- Nielsen JC, Thomsen PEB, Hojberg S, et al. A comparison of single-lead atrial pacing with dual-chamber pacing in sick sinus syndrome. Eur Heart J. 2011;32(6):686–696. doi:10.1093/eurheartj/ehr022
- Stambler BS, Ellenbogen KA, Orav EJ, et al. Predictors and clinical impact of atrial fibrillation after pacemaker implantation in elderly patients treated with dual chamber versus ventricular pacing. Pacing Clin Electrophysiol. 2003;26(10):2000–2007. doi:10.1046/j.1460-9592.2003.00309.x
- Sweeney MO, Bank AJ, Nsah E, et al. Minimizing ventricular pacing to reduce atrial fibrillation in sinus-node disease. N Engl J Med. 2007;357(10):1000–1008. doi:10.1056/NEJMoa071880
- Sweeney MO, Hellkamp AS, Ellenbogen KA, et al. Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction. Circulation. 2003;107(23):2932–2937. doi:10.1161/01.CIR.0000072769.17295.B1
- Toff WD, Camm AJ, Skehan JD. Single-chamber versus dual-chamber pacing for high-grade atrioventricular block. N Engl J Med. 2005;353(2):145–155. doi:10.1056/NEJMoa042283
- Khan AA, Boriani G, Lip GYH. Are atrial high rate episodes (AHREs) a precursor to atrial fibrillation? Clin Res Cardiol. 2020;109(4):409–416. doi:10.1007/s00392-019-01545-4
- Simu G, Rosu R, Cismaru G, et al. Atrial high-rate episodes: A comprehensive review. Cardiovasc J Afr. 2021;32(2):48–53. doi:10.5830/CVJA-2020-052
- Kaufman ES, Israel CW, Nair GM, et al. Positive predictive value of device-detected atrial high-rate episodes at different rates and durations: An analysis from ASSERT. Heart Rhythm. 2012;9(8):1241–1246. doi:10.1016/j.hrthm.2012.03.017
- Sanna T. Long-term monitoring to detect atrial fibrillation with the indwelling implantable cardiac monitors. Int J Stroke. 2018;13(9):893–904. doi:10.1177/1747493018790023
- Bertaglia E, Blank B, Blomström-Lundqvist C, et al. Atrial high-rate episodes: Prevalence, stroke risk, implications for management, and clinical gaps in evidence. EP Europace. 2019;21(10):1459–1467. doi:10.1093/europace/euz172
- Camm AJ, Simantirakis E, Goette A, et al. Atrial high-rate episodes and stroke prevention. EP Europace. 2017;19(2):169–179. doi:10.1093/europace/euw279
- January CT, Wann LS, Calkins H, et al. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration With the Society of Thoracic Surgeons. Circulation. 2019;140(2):e125–e151. doi:10.1161/CIR.0000000000000665
- Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2021;42(5):373–498. doi:10.1093/eurheartj/ehaa612
- Andrade JG, Aguilar M, Atzema C, et al. The 2020 Canadian Cardiovascular Society/Canadian Heart Rhythm Society Comprehensive Guidelines for the Management of Atrial Fibrillation. Can J Cardiol. 2020;36(12):1847–1948. doi:10.1016/j.cjca.2020.09.001
- Uittenbogaart SB, Lucassen WAM, van Etten-Jamaludin FS, de Groot JR, van Weert HCPM. Burden of atrial high-rate episodes and risk of stroke: A systematic review. EP Europace. 2018;20(9):1420–1427. doi:10.1093/europace/eux356
- Van Gelder IC, Healey JS, Crijns HJGM, et al. Duration of device-detected subclinical atrial fibrillation and occurrence of stroke in ASSERT. Eur Heart J. 2017;38(17):1339–1344. doi:10.1093/eurheartj/ehx042
- Healey JS, Connolly SJ, Gold MR, et al. Subclinical atrial fibrillation and the risk of stroke. N Engl J Med. 2012;366(2):120–129. doi:10.1056/NEJMoa1105575
- Kawakami H, Nagai T, Saito M, et al. Clinical significance of atrial high-rate episodes for thromboembolic events in Japanese population. Heart Asia. 2017;9(2):e010954. doi:10.1136/heartasia-2017-010954
- Nishinarita R, Niwano S, Oikawa J, et al. Novel predictor for new-onset atrial high-rate episode in patients with a dual-chamber pacemaker. Circ Rep. 2021;3(9):497–503. doi:10.1253/circrep.CR-21-0096
- Ogino Y, Ishikawa T, Ishigami T, et al. Characteristics and prognosis of pacemaker-identified new-onset atrial fibrillation in Japanese people. Circ J. 2017;81(6):794–798. doi:10.1253/circj.CJ-16-1018
- Tanawuttiwat T, Lande J, Smeets P, et al. Atrial fibrillation burden and subsequent heart failure events in patients with cardiac resynchronization therapy devices. J Cardiovasc Electrophysiol. 2020;31(6):1519–1526. doi:10.1111/jce.14444
- Brandenburg S, Arakel EC, Schwappach B, Lehnart SE. The molecular and functional identities of atrial cardiomyocytes in health and disease. Biochim Biophys Acta. 2016;1863(7):1882–1893. doi:10.1016/j.bbamcr.2015.11.025
- Liaquat MT, Ahmed I, Alzahrani T. Pacemaker malfunction. In: StatPearls. Treasure Island, USA: StatPearls Publishing; 2022. http://www.ncbi.nlm.nih.gov/books/NBK553149/. Accessed December 7, 2022.
- Saito Y, Nakamura K, Ito H. Cell-based biological pacemakers: Progress and problems. Acta Med Okayama. 2018;72(1):1–7. doi:10.18926/AMO/55656
- Ni H, Zhang H, Grandi E, Narayan SM, Giles WR. Transient outward K+ current can strongly modulate action potential duration and initiate alternans in the human atrium. Am J Physiol Heart Circ Physiol. 2019;316(3):H527–H542. doi:10.1152/ajpheart.00251.2018
- Greiser M, Schotten U. Dynamic remodeling of intracellular Ca2+ signaling during atrial fibrillation. J Mol Cell Cardiol. 2013;58:134–142. doi:10.1016/j.yjmcc.2012.12.020
- Nattel S, Dobrev D. Electrophysiological and molecular mechanisms of paroxysmal atrial fibrillation. Nat Rev Cardiol. 2016;13(10):575–590. doi:10.1038/nrcardio.2016.118
- Nattel S, Heijman J, Zhou L, Dobrev D. Molecular basis of atrial fibrillation pathophysiology and therapy: A translational perspective. Circ Res. 2020;127(1):51–72. doi:10.1161/CIRCRESAHA.120.316363
- Dzeshka MS, Lip GYH, Snezhitskiy V, Shantsila E. Cardiac fibrosis in patients with atrial fibrillation. J Am Coll Cardiol. 2015;66(8):943–959. doi:10.1016/j.jacc.2015.06.1313
- Lai D, Xu L, Cheng J, et al. Stretch current-induced abnormal impulses in CaMKIIδ knockout mouse ventricular myocytes. J Cardiovasc Electrophysiol. 2013;24(4):457–463. doi:10.1111/jce.12060
- Walters TE, Lee G, Spence S, et al. Acute atrial stretch results in conduction slowing and complex signals at the pulmonary vein to left atrial junction: Insights into the mechanism of pulmonary vein arrhythmogenesis. Circ Arrhytm Electrophysiol. 2014;7(6):1189–1197. doi:10.1161/CIRCEP.114.001894
- Yang S, Mei B, Liu H, et al. A modified beagle model of inducible atrial fibrillation using a right atrium pacemaker. Braz J Cardiovasc Surg. 2020;35(5):713–721. doi:10.21470/1678-9741-2019-0363
- Ferrari ADL, Borges AP, Albuquerque LC, et al. Cardiac pacing induced cardiomyopathy: Myth or reality sustained by evidence? Rev Bras Cir Cardiovasc. 2014;29(3):402–413. doi:10.5935/1678-9741.20140104
- Merchant FM, Mittal S. Pacing induced cardiomyopathy. J Cardiovasc Electrophysiol. 2020;31(1):286–292. doi:10.1111/jce.14277
- Xu H, Gao J, Wang F. Altered mitochondrial expression genes in patients receiving right ventricular apical pacing. Exp Mol Pathol. 2016;100(3):469–475. doi:10.1016/j.yexmp.2016.05.005
- Deshmukh A, Lakshmanadoss U, Deshmukh P. Hemodynamics of His bundle pacing. Card Electrophysiol Clin. 2018;10(3):503–509. doi:10.1016/j.ccep.2018.05.014
- Zhang YY, Wu DY, Fu NK, Lu FM, Xu J. Neuroendocrine and haemodynamic changes in single-lead atrial pacing and dual-chamber pacing modes. J Int Med Res. 2013;41(4):1057–1066. doi:10.1177/0300060513489798
- Jalife J, Kaur K. Atrial remodeling, fibrosis, and atrial fibrillation. Trends Cardiovasc Med. 2015;25(6):475–484. doi:10.1016/j.tcm.2014.12.015
- Reese-Petersen AL, Olesen MS, Karsdal MA, Svendsen JH, Genovese F. Atrial fibrillation and cardiac fibrosis: A review on the potential of extracellular matrix proteins as biomarkers. Matrix Biol. 2020;91–92:188–203. doi:10.1016/j.matbio.2020.03.005
- Merchant FM. Pacing-induced cardiomyopathy: Just the tip of the iceberg? Eur Heart J. 2019;40(44):3649–3650. doi:10.1093/eurheartj/ehz715
- Khurshid S, Frankel DS. Pacing-induced cardiomyopathy. Card Electrophysiol Clin. 2021;13(4):741–753. doi:10.1016/j.ccep.2021.06.009
- Fanari Z, Hammami S, Hammami MB, Hammami S, Shuraih M. The effects of right ventricular apical pacing with transvenous pacemaker and implantable cardioverter defibrillator on mitral and tricuspid regurgitation. J Electrocardiol. 2015;48(5):791–797. doi:10.1016/j.jelectrocard.2015.07.002
- Iscan S, Eygi B, Besir Y, et al. Inflammation, atrial fibrillation and cardiac surgery: Current medical and invasive approaches for the treatment of atrial fibrillation. Curr Pharm Des. 2018;24(3):310–322. doi:10.2174/1381612824666180131120859
- Olsen FJ, Møgelvang R, Jensen GB, Jensen JS, Biering-Sørensen T. Relationship between left atrial functional measures and incident atrial fibrillation in the general population. JACC Cardiovasc Imaging. 2019;12(6):981–989. doi:10.1016/j.jcmg.2017.12.016
- Scott L, Li N, Dobrev D. Role of inflammatory signaling in atrial fibrillation. Int J Cardiol. 2019;287:195–200. doi:10.1016/j.ijcard.2018.10.020
- Vyas V, Hunter RJ, Longhi MP, Finlay MC. Inflammation and adiposity: New frontiers in atrial fibrillation. EP Europace. 2020;22(11):1609–1618. doi:10.1093/europace/euaa214
- Pacheco KA. Allergy to surgical implants. Clinic Rev Allerg Immunol. 2019;56(1):72–85. doi:10.1007/s12016-018-8707-y
- Liew R, Khairunnisa K, Gu Y, et al. Role of tumor necrosis factor-α in the pathogenesis of atrial fibrosis and development of an arrhythmogenic substrate. Circ J. 2013;77(5):1171–1179. doi:10.1253/circj.CJ-12-1155
- Acampa M, Lazzerini PE, Guideri F, Tassi R, Lo Monaco A, Martini G. Inflammation and atrial electrical remodelling in patients with embolic strokes of undetermined source. Heart Lung Circ. 2019;28(6):917–922. doi:10.1016/j.hlc.2018.04.294
- da Silva RMFL. Influence of inflammation and atherosclerosis in atrial fibrillation. Curr Atheroscler Rep. 2017;19(1):2. doi:10.1007/s11883-017-0639-0
- Wijesurendra RS, Casadei B. Mechanisms of atrial fibrillation. Heart. 2019;105(24):1860–1867. doi:10.1136/heartjnl-2018-314267
- Yongjun Q, Huanzhang S, Wenxia Z, Hong T, Xijun X. From changes in local RAAS to structural remodeling of the left atrium: A beautiful cycle in atrial fibrillation. Herz. 2015;40(3):514–520. doi:10.1007/s00059-013-4032-7
- Carnagarin R, Kiuchi MG, Ho JK, Matthews VB, Schlaich MP. Sympathetic nervous system activation and its modulation: Role in atrial fibrillation. Front Neurosci. 2019;12:1058. doi:10.3389/fnins.2018.01058
- Qin M, Zeng C, Liu X. The cardiac autonomic nervous system: A target for modulation of atrial fibrillation. Clin Cardiol. 2019;42(6):644–652. doi:10.1002/clc.23190
- Chiladakis JA, Kalogeropoulos A, Manolis AS. Autonomic responses to single- and dual-chamber pacing. Am J Cardiol. 2004;93(8):985–989. doi:10.1016/j.amjcard.2003.12.052
- Elder DH, Lang CC, Choy AM. Pacing-induced heart disease: Understanding the pathophysiology and improving outcomes. Exp Rev Cardiovasc Ther. 2011;9(7):877–886. doi:10.1586/erc.11.82
- DeForge WF. Cardiac pacemakers: A basic review of the history and current technology. J Vet Cardiol. 2019;22:4–50. doi:10.1016/j.jvc.2019.01.001
- Mulpuru SK, Madhavan M, McLeod CJ, Cha YM, Friedman PA. Cardiac pacemakers: Function, troubleshooting, and management. J Am Coll Cardiol. 2017;69(2):189–210. doi:10.1016/j.jacc.2016.10.061
- Kerr CR, Connolly SJ, Abdollah H, et al. Canadian trial of physiological pacing: Effects of physiological pacing during long-term follow-up. Circulation. 2004;109(3):357–362. doi:10.1161/01.CIR.0000109490.72104.EE
- Reiffel JA. Intra-atrial block: Definition and relationship to atrial fibrillation and other adverse outcomes. J Atrial Fibril. 2019;12(2):2234. doi:10.4022/jafib.2234
- Spies F, Knecht S, Zeljkovic I, et al. First-degree atrioventricular block in patients with atrial fibrillation and atrial flutter: The prevalence of intra-atrial conduction delay. J Interv Card Electrophysiol. 2021;61(2):421–425. doi:10.1007/s10840-020-00838-3
- Bohm A. Prolonged PR interval despite a programmed short sensed AV delay: The role of intra-atrial conduction time. Europace. 2002;4(3):329–331. doi:10.1053/eupc.2002.0244
- Khaykin Y, Exner D, Birnie D, Sapp J, Aggarwal S, Sambelashvili A. Adjusting the timing of left-ventricular pacing using electrocardiogram and device electrograms. EP Europace. 2011;13(10):1464–1470. doi:10.1093/europace/eur146
- Kim WH, Joung B, Shim J, et al. Long-term outcome of single-chamber atrial pacing compared with dual-chamber pacing in patients with sinus-node dysfunction and intact atrioventricular node conduction. Yonsei Med J. 2010;51(6):832. doi:10.3349/ymj.2010.51.6.832
- Statescu C, Sascau RA, Maciuc V, Arsenescu Georgescu C. Programming an optimal atrioventricular interval in a dual chamber pacemaker regional population. Maedica (Bucur). 2011;6(4):272–276. PMID:22879840. PMCID:PMC3391943.
- Cheung JW, Keating RJ, Stein KM, et al. Newly detected atrial fibrillation following dual chamber pacemaker implantation. J Cardiovasc Electrophysiol. 2006;17(12):1323–1328. doi:10.1111/j.1540-8167.2006.00648.x
- Wu Z, Chen X, Ge J, Su Y. The risk factors of new-onset atrial fibrillation after pacemaker implantation. Herz. 2021;46(S1):61–68. doi:10.1007/s00059-019-04869-z
- Roithinger FX, Abou-Harb M, Pachinger O, Hintringer F. The effect of the atrial pacing site on the total atrial activation time. Pacing Clin Electrophysiol. 2001;24(3):316–322. doi:10.1046/j.1460-9592.2001.00316.x
- Kliś M, Sławuta A, Gajek J. Antiarrhythmic properties of atrial pacing. Adv Clin Exp Med. 2017;26(2):351–357. doi:10.17219/acem/61429
- Verlato R, Botto GL, Massa R, et al. Efficacy of low interatrial septum and right atrial appendage pacing for prevention of permanent atrial fibrillation in patients with sinus node disease: Results from the Electrophysiology-Guided Pacing Site Selection (EPASS) Study. Circ Arrhytm Electrophysiol. 2011;4(6):844–850. doi:10.1161/CIRCEP.110.957126
- Sławuta A, Kliś M, Skoczyński P, Bańkowski T, Moszczyńska-Stulin J, Gajek J. Bachmann’s bundle pacing not only improves interatrial conduc-tion but also reduces the need for ventricular pacing. Adv Clin Exp Med. 2016;25(5):845–850. doi:10.17219/acem/63351
- Hettrick DA, Mittelstadt JR, Kehl F, et al. Atrial pacing lead location alters the hemodynamic effects of atrial‐ventricular delay in dogs with pacing induced cardiomyopathy. Pacing Clin Electrophysiol. 2003;26(4 Pt 1):853–861. doi:10.1046/j.1460-9592.2003.t01-1-00150.x
- Watabe T, Abe H, Kohno R, et al. Atrial pacing site and atrioventricular conduction in patients paced for sinus node disease: Atrial pacing site and AV conduction. J Cardiovasc Electrophysiol. 2014;25(11):1224–1231. doi:10.1111/jce.12476
- Akerström F, Pachón M, Puchol A, et al. Chronic right ventricular apical pacing: Adverse effects and current therapeutic strategies to minimize them. Int J Cardiol. 2014;173(3):351–360. doi:10.1016/j.ijcard.2014.03.079
- Iqbal AM, Jamal SF. Pacemaker syndrome. In: StatPearls. Treasure Island, USA: StatPearls Publishing; 2022. http://www.ncbi.nlm.nih.gov/books/NBK536976/. Accessed December 7, 2022.
- Liu T, Li G. Pulmonary vein dilatation: Another possible crosslink between left atrial enlargement and atrial fibrillation? Int J Cardiol. 2008;123(2):193–194. doi:10.1016/j.ijcard.2006.11.135
- Ratanasit N, Karaketklang K, Krittayaphong R. Left atrial volume index as an independent determinant of pulmonary hypertension in patients with chronic organic mitral regurgitation. BMC Cardiovasc Disord. 2016;16(1):141. doi:10.1186/s12872-016-0306-3
- Kodama Y, Kuraoka A, Ishikawa Y, et al. Outcome of patients with functional single ventricular heart after pacemaker implantation: What makes it poor, and what can we do? Heart Rhythm. 2019;16(12):1870–1874. doi:10.1016/j.hrthm.2019.06.019
- Ståhlberg M, Nakagawa R, Bedja D, et al. Chronic atrial and ventricular pacing in the mouse: Application to model cardiac dyssynchrony and resynchronization in heart failure. Circ Heart Fail. 2019;12(2):e005655. doi:10.1161/CIRCHEARTFAILURE.118.005655
- Tayal B, Fruelund P, Sogaard P, et al. Incidence of heart failure after pacemaker implantation: A nationwide Danish registry-based follow-up study. Eur Heart J. 2019;40(44):3641–3648. doi:10.1093/eurheartj/ehz584
- Abedin Z. Incidence of new onset atrial fibrillation in patients with permanent pacemakers and the relation to the pacing mode. Med Sci Monit. 2014;20:268–273. doi:10.12659/MSM.890052
- Jankelson L, Bordachar P, Strik M, Ploux S, Chinitz L. Reducing right ventricular pacing burden: Algorithms, benefits, and risks. EP Europace. 2019;21(4):539–547. doi:10.1093/europace/euy263
- Boriani G, Tukkie R, Manolis AS, et al. Atrial antitachycardia pacing and managed ventricular pacing in bradycardia patients with paroxysmal or persistent atrial tachyarrhythmias: The MINERVA randomized multicentre international trial. Eur Heart J. 2014;35(35):2352–2362. doi:10.1093/eurheartj/ehu165
- Shurrab M, Healey JS, Haj-Yahia S, et al. Reduction in unnecessary ventricular pacing fails to affect hard clinical outcomes in patients with preserved left ventricular function: A meta-analysis. Europace. 2016;19(2):282–288. doi:10.1093/europace/euw221
- Frisch DR, Kenia AS, Walinsky P, Balog J. Managed ventricular pacing facilitating atrioventricular nodal reentrant tachycardia. Pacing Clin Electrophysiol. 2014;37(11):1568–1571. doi:10.1111/pace.12318
- Das A. Electrocardiographic features: Various atrial site pacing. Indian Heart J. 2017;69(5):675–680. doi:10.1016/j.ihj.2017.08.030
- Ramdjan TT, van der Does LJ, Knops P, Res JC, de Groot NM. Right versus left atrial pacing in patients with sick sinus syndrome and paroxysmal atrial fibrillation (Riverleft study): Study protocol for randomized controlled trial. Trials. 2014;15(1):445. doi:10.1186/1745-6215-15-445
- Minamiguchi H, Nanto S, Onishi T, Watanabe T, Uematsu M, Komuro I. Low atrial septal pacing with dual-chamber pacemakers reduces atrial fibrillation in sick sinus syndrome. J Cardiol. 2011;57(2):223–230. doi:10.1016/j.jjcc.2010.11.002
- Zhang L, Jiang H, Wang W, et al. Interatrial septum versus right atrial appendage pacing for prevention of atrial fibrillation: A meta-analysis of randomized controlled trials. Herz. 2018;43(5):438–446. doi:10.1007/s00059-017-4589-7
- Burri H, Bennani I, Domenichini G, et al. Biatrial pacing improves atrial haemodynamics and atrioventricular timing compared with pacing from the right atrial appendage. Europace. 2011;13(9):1262–1267. doi:10.1093/europace/eur099
- Rubaj A, Rucinski P, Kutarski A, et al. Cardiac hemodynamics and proinflammatory cytokines during biatrial and right atrial appendage pacing in patients with interatrial block. J Interv Card Electrophysiol. 2013;37(2):147–154. doi:10.1007/s10840-013-9792-8
- Nagarakanti R, Slee A, Saksena S. Left atrial reverse remodeling and prevention of progression of atrial fibrillation with atrial resynchronization device therapy utilizing dual-site right atrial pacing in patients with atrial fibrillation refractory to antiarrhythmic drugs or catheter ablation. J Interv Card Electrophysiol. 2014;40(3):245–254. doi:10.1007/s10840-014-9931-x
- Lewicka-Nowak E, Kutarski A, Dabrowska-Kugacka A, Rucinski P, Zagozdzon P, Raczak G. A novel method of multisite atrial pacing, incorporating Bachmann’s bundle area and coronary sinus ostium, for electrical atrial resynchronization in patients with recurrent atrial fibrillation. Europace. 2007;9(9):805–811. doi:10.1093/europace/eum152
- Hayashi K, Kohno R, Fujino Y, et al. Pacing from the right ventricular septum and development of new atrial fibrillation in paced patients with atrioventricular block and preserved left ventricular function. Circ J. 2016;80(11):2302–2309. doi:10.1253/circj.CJ-16-0640
- Chen X, Qian Z, Zou F, et al. Differentiating left bundle branch pacing and left ventricular septal pacing: An algorithm based on intracardiac electrophysiology. Cardiovasc Electrophysiol. 2022;33(3):448–457. doi:10.1111/jce.15350
- Heckman LIB, Luermans JGLM, Curila K, et al. Comparing ventricular synchrony in left bundle branch and left ventricular septal pacing in pacemaker patients. J Clin Med. 2021;10(4):822. doi:10.3390/jcm10040822
- Vetta F, Marinaccio L, Vetta G. Alternative sites of ventricular pacing: His bundle pacing. Monaldi Arch Chest Dis. 2020;90(2). doi:10.4081/monaldi.2020.1251
- Weizong W, Zhongsu W, Yujiao Z, et al. Effects of right ventricular nonapical pacing on cardiac function: A meta-analysis of randomized controlled trials. Pacing Clin Electrophysiol. 2013;36(8):1032–1051. doi:10.1111/pace.12112
- Curila K, Jurak P, Halamek J, et al. Ventricular activation pattern assessment during right ventricular pacing: Ultra‐high‐frequency ECG study. J Cardiovasc Electrophysiol. 2021;32(5):1385–1394. doi:10.1111/jce.14985
- Pastore G, Zanon F, Baracca E, et al. The risk of atrial fibrillation during right ventricular pacing. Europace. 2016;18(3):353–358. doi:10.1093/europace/euv268
- Zhu H, Li X, Wang Z, et al. New-onset atrial fibrillation following left bundle branch area pacing vs. right ventricular pacing: A two-centre prospective cohort study [published online as ahead of print on August 9, 2022]. EP Europace. 2022. doi:10.1093/europace/euac132
- Sharma PS, Patel NR, Ravi V, et al. Clinical outcomes of left bundle branch area pacing compared to right ventricular pacing: Results from the Geisinger–Rush Conduction System Pacing Registry. Heart Rhythm. 2022;19(1):3–11. doi:10.1016/j.hrthm.2021.08.033
- Su L, Wang S, Wu S, et al. Long-term safety and feasibility of left bundle branch pacing in a large single-center study. Circ Arrhytm Electrophysiol. 2021;14(2):e009261. doi:10.1161/CIRCEP.120.009261
- Knight BP, Gersh BJ, Carlson MD, et al. Role of permanent pacing to prevent atrial fibrillation: Science advisory From the American Heart Association Council on Clinical Cardiology (Subcommittee on Electrocardiography and Arrhythmias) and the Quality of Care and Outcomes Research Interdisciplinary Working Group, in Collaboration With the Heart Rhythm Society. Circulation. 2005;111(2):240–243. doi:10.1161/01.CIR.0000151800.84945.47
- Mitchell A. How do atrial pacing algorithms prevent atrial arrhythmias? Europace. 2004;6(4):351–362. doi:10.1016/j.eupc.2004.03.005
- Lewalter T, Yang A, Pfeiffer D, et al. Individualized selection of pacing algorithms for the prevention of recurrent atrial fibrillation: Results from the VIP registry. Pacing Clin Electrophysiol. 2006;29(2):124–134. doi:10.1111/j.1540-8159.2006.00305.x
- Carlson MD, Ip J, Messenger J, et al. A new pacemaker algorithm for the treatment of atrial fibrillation. J Am Coll Cardiol. 2003;42(4):627–633. doi:10.1016/S0735-1097(03)00780-0
- Gold MR, Adler S, Fauchier L, et al. Impact of atrial prevention pacing on atrial fibrillation burden: Primary results of the Study of Atrial Fibrillation Reduction (SAFARI) trial. Heart Rhythm. 2009;6(3):295–301. doi:10.1016/j.hrthm.2008.11.033
- Hohnloser SH, Healey JS, Gold MR, et al. Atrial overdrive pacing to prevent atrial fibrillation: Insights from ASSERT. Heart Rhythm. 2012;9(10):1667–1673. doi:10.1016/j.hrthm.2012.06.012
- Kantharia BK, Freedman RA, Hoekenga D, et al. Increased base rate of atrial pacing for prevention of atrial fibrillation after implantation of a dual-chamber pacemaker: Insights from the Atrial Overdrive Pacing Study. Europace. 2007;9(11):1024–1030. doi:10.1093/europace/eum170
- Lau CP, Tachapong N, Wang CC, et al. Prospective randomized study to assess the efficacy of site and rate of atrial pacing on long-term progression of atrial fibrillation in sick sinus syndrome: Septal Pacing for Atrial Fibrillation Suppression Evaluation (SAFE) Study. Circulation. 2013;128(7):687–693. doi:10.1161/CIRCULATIONAHA.113.001644
- Dézsi CA, Szentes V. The real role of β-blockers in daily cardiovascular therapy. Am J Cardiovasc Drugs. 2017;17(5):361–373. doi:10.1007/s40256-017-0221-8
- Vinereanu D, Spinar J, Pathak A, Kozlowski D. Role of metoprolol succinate in the treatment of heart failure and atrial fibrillation: A systematic review. Am J Ther. 2020;27(2):e183–e193. doi:10.1097/MJT.0000000000001043
- Lan Q, Wu F, Han B, Ma L, Han J, Yao Y. Intravenous diltiazem versus metoprolol for atrial fibrillation with rapid ventricular rate: A meta-analysis. Am J Emerg Med. 2022;51:248–256. doi:10.1016/j.ajem.2021.08.082
- Bonora BM, Raschi E, Avogaro A, Fadini GP. SGLT-2 inhibitors and atrial fibrillation in the Food and Drug Administration adverse event reporting system. Cardiovasc Diabetol. 2021;20(1):39. doi:10.1186/s12933-021-01243-4
- De Vecchis R, Paccone A, Di Maio M. Upstream therapy for atrial fibrillation prevention: The role of sacubitril/valsartan. Cardiol Res. 2020;11(4):213–218. doi:10.14740/cr1073
- Shao Q, Meng L, Lee S, et al. Empagliflozin, a sodium glucose co-transporter-2 inhibitor, alleviates atrial remodeling and improves mitochondrial function in high-fat diet/streptozotocin-induced diabetic rats. Cardiovasc Diabetol. 2019;18(1):165. doi:10.1186/s12933-019-0964-4
- Okutucu S, Fatihoglu SG, Sabanoglu C, et al. Effects of angiotensin receptor neprilysin inhibition on P-wave dispersion in heart failure with reduced ejection fraction. Herz. 2021;46(Suppl 1):69–74. doi:10.1007/s00059-019-04872-4
- Suo Y, Yuan M, Li H, et al. Sacubitril/valsartan improves left atrial and left atrial appendage function in patients with atrial fibrillation and in pressure overload-induced mice. Front Pharmacol. 2019;10:1285. doi:10.3389/fphar.2019.01285
- Rodriguez A, Hunter CL, Premuroso C, et al. Safety and efficacy of prehospital diltiazem for atrial fibrillation with rapid ventricular response. Prehosp Disaster Med. 2019;34(3):297–302. doi:10.1017/S1049023X19004278
- Shi S, Chu Y, Jia Q, Hu Y. Comparative efficacy and safety of wenxin granule combined with antiarrhythmic drugs for atrial fibrillation: A protocol for a systematic review and network meta-analysis. Medicine (Baltimore). 2021;100(3):e24434. doi:10.1097/MD.0000000000024434
- Tian G, Sun Y, Liu S, et al. Therapeutic effects of Wenxin Keli in cardiovascular diseases: An experimental and mechanism overview. Front Pharmacol. 2018;9:1005. doi:10.3389/fphar.2018.01005
- Arnold DD, Yalamanoglu A, Boyman O. Systematic review of safety and efficacy of IL-1-targeted biologics in treating immune-mediated disorders. Front Immunol. 2022;13:888392. doi:10.3389/fimmu.2022.888392
- Capucci A, Cipolletta L, Guerra F, Giannini I. Emerging pharmacotherapies for the treatment of atrial fibrillation. Expert Opin Emerg Drugs. 2018;23(1):25–36. doi:10.1080/14728214.2018.1446941
- Nomani H, Saei S, Johnston TP, Sahebkar A, Mohammadpour AH. The efficacy of anti-inflammatory agents in the prevention of atrial fibrillation recurrences. Curr Med Chem. 2020;28(1):137–151. doi:10.2174/1389450121666200302095103
- Scott L, Li N, Dobrev D. Role of inflammatory signaling in atrial fibrillation. Int J Cardiol. 2019;287:195–200. doi:10.1016/j.ijcard.2018.10.020
- Bashir M, Bhagra A, Kapa S, MacLeod C. Modulation of the autonomic nervous system through mind and body practices as a treatment for atrial fibrillation. Rev Cardiovasc Med. 2019;20(3):129. doi:10.31083/j.rcm.2019.03.517
- Wang S, Zhou X, Huang B, et al. Spinal cord stimulation suppresses atrial fibrillation by inhibiting autonomic remodeling. Heart Rhythm. 2016;13(1):274–281. doi:10.1016/j.hrthm.2015.08.018