p.5 抽出テキスト

.......................................................................................................................................................................... Table 11 Management of anticoagulation in pacemaker procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Table 12 Complications of pacemaker and cardiac resynchronization therapy implantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Table 13 Frequency of follow-up for routine pacemaker and cardiac resynchronization therapy, either in person alone or combined with remote device management . . . . . . . . . . . . . . . . . . . . . . . . 60 Table 14 Topics and content that may be included in patient education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Table 15 A selection of the developed quality indicators for patients undergoing cardiovascular implantable electronic device implantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

List of figures

Figure 1 Central Illustration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Figure 2 Classification of documented and suspected bradyarrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Figure 3 Initial evaluation of patients with symptoms suggestive of bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Figure 4 Evaluation of bradycardia and conduction disease algorithm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Figure 5 Optimal pacing mode and algorithm selection in sinus node dysfunction and atrioventricular block . . . . . . . . . . . . . . . . . . . . . . . . 23 Figure 6 Decision algorithm for patients with unexplained syncope and bundle branch block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Figure 7 Decision pathway for cardiac pacing in patients with reflex syncope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Figure 8 Summary of indications for pacing in patients >40 years of age with reflex syncope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Figure 9 Indication for atrioventricular junction ablation in patients with symptomatic permanent atrial fibrillation or persistent atrial fibrillation unsuitable for atrial fibrillation ablation . . . . . . . . . . . . . . . . . . . 34 Figure 10 Patient’s clinical characteristics and preference to be considered for the decision-making between cardiac resynchronization therapy pacemaker or defibrillator . . . . . . . . . . . . . . . 38 Figure 11 Three patients with different types of transitions in QRS morphology with His bundle pacing and decrementing pacing output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Figure 12 Management of conduction abnormalities after transcatheter aortic valve implantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Figure 13 Integrated management of patients with pacemaker and cardiac resynchronization therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Figure 14 Flowchart for evaluating magnetic resonance imaging in pacemaker patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Figure 15 Pacemaker management during radiation therapy . . . . . . . . . 58 Figure 16 Example of shared decision-making in patients considered for pacemaker/CRT implantation . . . . . . . . . . . . . . . . . . . . . . . 62

Abbreviations and acronyms

AF Atrial fibrillation APAF Ablate and Pace in Atrial Fibrillation (trial) ATP Antitachycardia pacing AV Atrioventricular AVB Atrioventricular block AVJ Atrioventricular junction AVN Atrioventricular node BBB Bundle branch block BLOCK-HF Biventricular versus RV pacing in patients with AV block (trial) b.p.m. Beats per minute BRUISE CONTROL Bridge or Continue Coumadin for Device Surgery Randomized Controlled Trial BRUISE CONTROL-2 Randomized Controlled Trial of Continued Versus Interrupted Direct Oral Anti-Coagulant at the Time of Device Surgery CABG Coronary artery bypass graft CARE-HF CArdiac REsynchronization in Heart Failure (trial) CHD Congenital heart disease CI Confidence interval CIED Cardiovascular implantable electronic device CMR Cardiovascular magnetic resonance COMPANION COmparison of Medical therapy, PAcing aNd defibrillatION (trial) CPAP Continuous positive airway pressure CRT Cardiac resynchronization therapy CRT-D Defibrillator with cardiac resynchronization therapy CRT-P Cardiac resynchronization therapypacemaker CSM Carotid sinus massage CSS Carotid sinus syndrome CT Computed tomography DANPACE DANish Multicenter Randomized Trial on Single Lead Atrial PACing vs. Dual Chamber Pacing in Sick Sinus Syndrome DDD Dual-chamber, atrioventricular pacing ECG Electrocardiogram/electrocardiographic Echo-CRT Echocardiography Guided Cardiac Resynchronization Therapy (trial) EF Ejection fraction EHRA European Heart Rhythm Association EMI Electromagnetic interference EORP EurObservational Research Programme EPS Electrophysiology study ESC European Society of Cardiology EuroHeart European Unified Registries On Heart Care Evaluation and Randomized Trials HBP His bundle pacing HCM Hypertrophic cardiomyopathy HF Heart failure HFmrEF Heart failure with mildly reduced ejection fraction HFpEF Heart failure with preserved ejection fraction Downloaded from academic.oup.com/eurheartj/article/42/35/3427/6358547 by guest on 07 October 2026