Pacemaker syndrome primary prevention
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- 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.