Under-utilization of pacemaker therapy for sinus node dysfunction - Real world data from South Asia.

ABSTRACT:

Objective

Chronic symptomatic sinus node dysfunction (SND), the most common bradyarrhythmia, can be effectively managed by permanent cardiac pacing. Yet the care pathway and barriers to adoption of pacing therapy are not well understood - particularly in low volume implanting countries. The IMPROVE Brady study is a quality improvement initiative being conducted at centers in South Asia, Latin America, and Russia. We assessed the rates of SND diagnosis and pacemaker treatment for SND in the South Asia cohort.

Methods

The prospective study enrolled patients with heart rate of  ≤50 beats per minute presenting with symptoms including syncope, dizziness, and/or dyspnea from ten centers in India and Bangladesh. Patients were followed to identify the proportion diagnosed with SND a

SUBMITTER: Narasimhan C 

PROVIDER: S-EPMC5650562 | biostudies-literature | 2017 Sep - Oct

REPOSITORIES: biostudies-literature