Table E3.
Pacemaker details in studies including < 250 patients (n = 30)
Study | Indications PPI | Timing of PPI, d | PPI rate | Dependency definition | Dependency rate | Dependency follow-up, months∗ | Multivariable Predictors PPI | Association | PPI-related complications |
---|---|---|---|---|---|---|---|---|---|
Sinhal et alE1 | na | 2 | 5.6% | na | 86% | 6 | na | na | na |
Jilaihawi et alE2 | 90% AVB 10% SSS |
na | 33.3% | Description by case of the % ventricular pacing at follow-up | 66.6% | 1 |
|
na | na |
Baan et alE3 | 100% AVB | 3 | 26.9% | “ventricular pacing” reported | 100% | 1 | na |
|
na |
Fraccaro et alE4 | 96% AVB 4% SSS |
na | 39% | With pacemaker to VVI at the lowest rate possible: continuous pacing or complete AVB or AF with inadequate ventricular response | 23.5% | 12 |
|
na | na |
Van der boon et alE5 | 83.3% AVB 13.8% bradycardia 2.7% others |
8 | 21.6% | By temporarily turning off the PPM or programming to a VVI modus at 30 bpm to assess dependency → if high-degree AVB (second degree Mobitz II or third degree) or a slow (<30 bpm) or absent ventricular escape rhythm observed | 44.4% | 11.5 | na | na | na |
Pereira et alE6 | 100% AVB | 3 | 33% | Absence of any intrinsic or escape rhythm during back-up pacing at 30 beats/min (VVI) | 27% | 12 | na |
|
na |
Goldenberg et alE7 | 61.5% AVB 3% SSS 34% others |
na | 16.8% | High degree of AVB (second degree or complete) or intrinsic rhythm <30 beats/min during pacemaker inhibition | 29% | 12 | na | na | na |
Ramazzina et alE8 | 46% AVB 55% others |
na | 36.1% | >99% ventricular pacing | 29% | 12 |
|
|
na |
Boerlage-Van Dijk et alE9 | 91.3% AVB | 3 | 19% | Ventricular-paced rhythm (no other definition) | 52% | 11.3 |
|
|
4.3% atrial lead repositioning 4.3% pocket hematoma 4.3% cerebral vascular accident |
Renilla et alE10 | 100% AVB | 2 | 37.9% | Presence of a high-degree AVB (Mobitz II and III) or a slow <30 bpm or absent ventricular escape rhythm (pacemaker turned off or programmed to VVI modus at 30 bpm) | 39.1% | 35 | na | na | 3% pacemaker pocket infection |
Petronio et alE11 | na | na | 24.4% | VVI programming 30 beats/min | 40.7% | 1 |
|
|
na |
Weber et alE12 | 90% AVB 2% bradycardy 2% SSS 5% others |
na | 23% | Pacemaker is partially or frequently needed to ensure heartbeat | 35% | 9 | na | na | na |
Schernthaner et alE13 | 78% AVB 7% SSS 13% Others |
7 | 20% | Absence of an escape or intrinsic rhythm for 30 s during temporary back-up pacing at a rate of 30 bpm | 37% | 1.5 | na | na | na |
Kostopoulou et alE14 | 100% AVB | na | 22% | Asystole or CHB with or without escape rhythm after cessation of pacing | 9% | 12 |
|
|
na |
Sideris et alE15 | 100% AVB | na | 38.7% | High ventricular pacing rate >99% | 100% | 6 | na | na | 1.5% pneumothorax |
Luke et alE16 | 100% AVB | na | 39.3% | “Pacing" | 0.7% | 3 |
|
Trends with
|
na |
Makki et alE17 | 63% AVB 4% bradycardia 33% others |
3 | 14% | Underlying ventricular asystole >5 s, CHB, >50% pacing, symptoms in the setting of bradycardia (rate <50 bpm) | 33% | 3 | na | na | na |
Nijenhuis et alE18 | 87% AVB | 8 | 24% | Ventricular pacing reported | 68% | 27 |
|
na | na |
Naveh et alE19 | 100% AVB | na | 34.5% | Absent or inadequate intrinsic ventricular rhythm on pacemaker interrogation (intrinsic rhythm <30 bpm); >5% VP from the last follow-up on pacemaker interrogation; any evidence of VP on pacemaker interrogation in case where the programmed AV interval was >300 ms | 68.4% | 12 |
|
na | 0% |
Alasti et alE20 | 89.2% AVB 2.6% SSS 7.8% Others |
3 | 25% | The need for ventricular pacing when the pacing rate was lowered to 40 bpm for 10 s → dependent: slow (<40 bpm) or absent ventricular escape rhythm or AVB (Mobitz II or III) | 38% | 12 | na | na | 16% hematomas |
Ortak et alE21 | 83% AVB 16% others |
na | 22% | na | 64% | 1 |
|
na | na |
Rodes-Cabau et alE22 | 81% AVB 9% bradycardia 9% others |
42 | 11% | na | 78% | 12 | na | na | na |
Leong et alE23 | 74.6% AVB 20.8% bradycardia 13.5% others |
2.3 | 44.8% | Ventricular pacing reported | 73% | 2.4 | na |
|
0% |
Sharma et alE24 | na | na | 11.1% | Spontaneous response ventricular rate less than 30 bpm during backup pacing set at 30 beats/min for 30 s | 32% | 1 | na |
|
na |
Bacik et alE25 | 49.8% AVB 6.3% SSS 43.9% others |
5.5 | 13.8% | More than 95% pacing events | 12% | 12 |
|
na | na |
Megaly et alE26 | 50.6% AVB 34.9% others |
na | 35% | CHB requiring ventricular pacing | 3.5% | 12 | na | na | na |
Yazdchi et alE27 | 78% AVB | 2 | 8.7% | Ventricular pacing reported | 87% | 14 | na | na | na |
McCaffrey et alE28 | na | na | 11.2% | Ventricular pacing reported | 75% | 1 | na |
|
na |
Miura et alE29 | 90% AVB 10% SSS |
6 | 5% | Ventricular pacing reported | 40% | 12 | na | na | na |
Dhakal et alE30 | 80% AVB 17% SSS 3% others |
2 | 17% | Ventricular pacing rate | 54% | 2.7 | RBBB | In univariate analysis:
|
na |
Total | 72% AVB 1.7% SSS 3% bradycardia 23.2% others |
6,5 | 23.8% | na | na | 9 | na | na | na |
Values are n (%). PPI, Pacemaker implantation; na, not available; AVB, atrioventricular block; SSS, sick sinus syndrome; LBBB, left bundle branch block; VVI, single-chamber device; AF, atrial fibrillation; RBBB, right bundle branch block; PPM, permanent pacemaker; MCV, Medtronic CoreValve; TAVI, transcatheter aortic valve implantation; CHB, complete heart block; SE, self-expandable.
Follow-up is reported as mean or median as given by the authors.