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Kusumoto et al 2018 Bradycardia Clinical Practice Guidelines

August 20, 2019 Circulation. 2019;140:e382–e482. DOI: 10.1161/CIR.0000000000000628 e454

CLINICAL STATEMENTS AND GUIDELINES 1.5 Class of Recommendation and Level

of Evidence

S1.5-1.	 Halperin JL, Levine GN, Al-Khatib SM, et al. Further evolution of the

ACC/AHA clinical practice guideline recommendation classification system: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2015;133:1426–8.

2 EPIDEMIOLOGY AND DEFINITIONS

2.1 Bradycardia and Conduction

Disorders

S2.1-1.	 Lev M. Aging changes in the human sinoatrial node. J Gerontol. 1954;9:1–9. S2.1-2.	 Evans R, Shaw DB. Pathological studies in sinoatrial disorder (sick sinus syndrome). Br Heart J. 1977;39:778–86. S2.1-3.	 Ferrer MI. The sick sinus syndrome in atrial disease. JAMA. 1968;206:645–6. S2.1-4.	 Rosenqvist M, Obel IW. Atrial pacing and the risk for AV block: is there a time for change in attitude? Pacing Clin Electrophysiol. 1989;12:97–101. S2.1-5.	 Baine WB, Yu W, Weis KA. Trends and outcomes in the hospitalization of older Americans for cardiac conduction disorders or arrhythmias, 1991–1998. J Am Geriatr Soc. 2001;49:763–70. S2.1-6.	 Jensen PN, Gronroos NN, Chen LY, et al. Incidence of and risk factors for sick sinus syndrome in the general population. J Am Coll Cardiol. 2014;64:531–8. S2.1-7.	 Daley WR, Kaczmarek RG. The epidemiology of cardiac pacemakers in the older US population. J Am Geriatr Soc. 1998;46:1016–9. S2.1-8.	 Demoulin JC, Kulbertus HE. Histopathological correlates of sinoatrial disease. Br Heart J. 1978;40:1384–9. S2.1-9.	 Rasmussen K. Chronic sinus node disease: natural course and indications for pacing. Eur Heart J. 1981;2:455–9. S2.1-10.	 Shaw DB, Linker NJ, Heaver PA, et al. Chronic sinoatrial disorder

(sick sinus syndrome): a possible result of cardiac ischaemia. Br Heart J. 1987;58:598–607.

2.2 Definitions

S2.2-1.	 National Institutes of Health. Pulse. Available at: https://medlineplus. gov/ency/article/003399.htm. Accessed December 18, 2017. S2.2-2.	 Jensen PN, Gronroos NN, Chen LY, et al. Incidence of and risk factors for sick sinus syndrome in the general population. J Am Coll Cardiol. 2014;64:531–8. S2.2-3.	 Rijnbeek PR, van Herpen G, Bots ML, et al. Normal values of the electrocardiogram for ages 16–90 years. J Electrocardiol. 2014;47:914–21. S2.2-4.	 Fleg JL, Kennedy HL. Cardiac arrhythmias in a healthy elderly population: detection by 24-hour ambulatory electrocardiography. Chest. 1982;81:302–7. S2.2-5.	 Talan DA, Bauernfeind RA, Ashley WW, et al. Twenty-four hour continuous ECG recordings in long-distance runners. Chest. 1982;82:19–24. S2.2-6.	 Page RL, Joglar JA, Caldwell MA, et al. 2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2016;133:e506–74. S2.2-7.	 Surawicz B, Childers R, Deal BJ, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part III: intraventricular conduction disturbances: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society. Circulation. 2009;119:e235–40. S2.2-8.	 Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001;37:153–6. S2.2-9.	 Ahmed HM, Al-Mallah MH, Keteyian SJ, et al. Sex-specific maximum

predicted heart rate and its prognosis for mortality and myocardial infarction. Med Sci Sports Exerc. 2017;49:1704–10. S2.2-10.	 Jin L, Min G, Wei C, et al. Exercise training on chronotropic response

and exercise capacity in patients with type 2 diabetes mellitus. Exp Ther Med. 2017;13:899–904. S2.2-11.	 Kusumoto FM, Goldschlager N. Cardiac pacing. N Engl J Med. 1996;334:89–97. S2.2-12.	 Hancock EW, Deal BJ, Mirvis DM, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part V: electrocardiogram changes associated with cardiac chamber hypertrophy: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society. Circulation. 2009;119:e251–61. S2.2-13.	 Galeotti L, van Dam PM, Loring Z, et al. Evaluating strict and con-

ventional left bundle branch block criteria using electrocardiographic simulations. Europace. 2013;15:1816–21.

3 CLINICAL MANIFESTATION OF

BRADYCARDIA AND CONDUCTION DISORDERS

3.1 Clinical Manifestations of Bradycardia

S3.1-1.	 Brubaker PH, Kitzman DW. Chronotropic incompetence: causes, consequences, and management. Circulation. 2011;123:1010–20. S3.1-2.	 Barold SS, Hayes DL. Second-degree atrioventricular block: a reappraisal. Mayo Clin Proc. 2001;76:44–57. S3.1-3.	 Epstein AE, DiMarco JP, Ellenbogen KA, et al. 2012 ACCF/AHA/HRS focused update incorporated into the ACCF/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. Circulation. 2012;127:e283–352. S3.1-4.	 Goldschlager N. Underlying assumptions in evaluating “symptom-

atic bradycardia” (or, are we asking the right questions?). Pacing Clin Electrophysiol. 1988;11:1105–7.

3.2 Clinical Manifestations of

Conduction Disorders

S3.2-1.	 Surawicz B, Childers R, Deal BJ, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part III: intraventricular conduction disturbances: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society. Circulation. 2009;119:e235–40. S3.2-1.	 Galeotti L, van Dam PM, Loring Z, et al. Evaluating strict and con-

ventional left bundle branch block criteria using electrocardiographic simulations. Europace. 2013;15:1816–21.

4 GENERAL EVALUATION OF PATIENTS

WITH DOCUMENTED OR SUSPECTED BRADYCARDIA OR CONDUCTION DISORDERS

4.1 History and Physical Examination of

Patients With Documented or Suspected Bradycardia or Conduction Disorders

S4.1-1.	 Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA/ACC/

HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2018;138:e272–391.

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