Pacemaker syndrome primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]

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Overview

• At the time of pacemaker implantation, AV synchrony should be optimized to prevent the occurrence of pacemaker syndrome.
• Make sure that appropriate pacemaker is implanted in the patient to avoid loss of AV synchrony. For example:
  • AAI or a DDD pacemaker maintains AV synchrony. Result of AV synchrony is increase in cardiac output. So AAI or DDD pacemaker should be given to patients who has sinus rhythm.

• Patients with optimized AV synchrony have shown great results of implantation and very low incidence of pacemaker syndrome than those with suboptimal AV synchronization.