AAI – the forgotten pacing mode

Szymon Domagała; Anna Polewczyk; Łukasz Zandecki; Marianna Janion

doi:10.5114/ms.2017.66960

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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1/2017
vol. 33

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abstract:

Review paper

AAI – the forgotten pacing mode

Szymon Domagała

¹

,

Anna Polewczyk

^{1, 2}

,

Łukasz Zandecki

¹

,

Marianna Janion

^{1, 2}

2nd Department of Cardiology, Swietokrzyskie Cardiology Center, Kielce, Poland

Department of Internal Diseases, Cardiology and Medicine Nursing, Institute of Nursing and Obstetrics, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland

Medical Studies/Studia Medyczne 2017; 33 (1): 63–66

DOI: https://doi.org/10.5114/ms.2017.66960

Online publish date: 2017/03/31

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For a long time the AAI pacing mode was commonly used in patients with sick sinus syndrome, who were treated with pacemaker. After the guideline recommendations were updated in 2013 the AAI mode was displaced by the DDDR mode, especially with atrioventricular delay management. The most important argument for this change was the risk of the development of advanced atrioventricular block in long-term observation. This situation may require changing the pacing mode to DDD and implanting a ventricular lead. However, the AAI pacing mode has many forgotten advantages and it could still be successfully used in well selected patients with sick sinus syndrome.

keywords:

AAI – the forgotten pacing mode

Szymon Domagała 1 , Anna Polewczyk 1, 2 , Łukasz Zandecki 1 , Marianna Janion 1, 2

pacing, sick sinus syndrome, AAI mode, DDD mode

Szymon Domagała

¹

,

Anna Polewczyk

^{1, 2}

,

Łukasz Zandecki

¹

,

Marianna Janion

^{1, 2}