Dual-chamber pacemakers for symptomatic bradycardia due to sick sinus syndrome and/or atrioventricular block

National Institute for Clinical Excellence
Record ID 32005000150
English
Authors' objectives:

To provide guidance on the use of dual-chamber pacemakers for symptomatic bradycardia due to sick sinus syndrome and/or atrioventricular block.

Authors' recommendations: This guidance refers only to pacing for the primary indications of sick sinus syndrome and/or atrioventricular block, and does not cover more complex pacing indications. 1.1 Dual-chamber pacing is recommended for the management of symptomatic bradycardia due to sick sinus syndrome, atrioventricular block, or a combination of sick sinus syndrome and atrioventricular block, except: - in the management of sick sinus syndrome in patients in whom, after full evaluation, there is no evidence of impaired atrioventricular conduction; in this situation, single-chamber atrial pacing is appropriate - in the management of atrioventricular block in patients with continuous atrial fibrillation; in this situation, single-chamber ventricular pacing is appropriate - in the management of atrioventricular block (atrioventricular block alone, or in combination with sick sinus syndrome), when patient-specific factors, such as frailty or the presence of comorbidities, influence the balance of risks and benefits in favour of single-chamber ventricular pacing.
Authors' methods: Systematic review
Details
Project Status: Completed
URL for project: http://www.nice.org.uk/page.aspx?o=243281
Year Published: 2005
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Bradycardia
  • Heart Block
  • Pacemaker, Artificial
  • Sick Sinus Syndrome
  • Cardiac Pacing, Artificial
Contact
Organisation Name: National Institute for Clinical Excellence
Contact Address: MidCity Place, 71 High Holborn, London WC1V 6NA, UK. Tel: +44 020 7067 5800; Fax: +44 020 7067 5801
Contact Name: nice@nice.nhs.uk
Contact Email: nice@nice.nhs.uk
Copyright: National Institute for Clinical Excellence (NICE)
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