Single-lead VDD pacing: a literature review on short-term and long-term performance

Davide Antonio Mei, Jacopo Francesco Imberti, Marco Vitolo, Niccolò Bonini, Luigi Gerra, Giulio Francesco Romiti, Marco Proietti, Gregory Y. H. Lip, Giuseppe Boriani*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

2 Citations (Scopus)

Abstract

INTRODUCTION: VDD pacing system was introduced more than 30 years ago. Its use is considered by the 2021 European Society of Cardiology guidelines on cardiac pacing as a potential alternative to dual chambers system for patients with atrioventricular block and normal sinus node function.

AREAS COVERED: In this article, we performed a narrative review of current literature in order to identify the strengths and weaknesses of this pacing system. VDD system allows the maintenance of AV synchronous pacing and its hemodynamic advantages. Some disadvantages may be related to the non-negligible incidence of atrial undersensing and the possible subsequent need for upgrade to DDD system. On the other hand, shorter implantation time and lower complications rate may be advantages.

EXPERT OPINION: In the modern pacing era, VDD pacing system struggles to find its own space. However, it may still be considered as a valuable alternative to a dual-chamber pacemaker for selected patients, in specific clinical scenarios.

Original languageEnglish
JournalExpert Review of Medical Devices
Volume20
Issue number3
Pages (from-to)187-197
Number of pages11
ISSN1743-4440
DOIs
Publication statusPublished - Mar 2023

Keywords

  • Atrial fibrillation
  • cardiac implantable electronic devices
  • cardiac resynchronization therapy
  • implantable cardioverter defibrillator
  • pacemaker
  • pacing

Fingerprint

Dive into the research topics of 'Single-lead VDD pacing: a literature review on short-term and long-term performance'. Together they form a unique fingerprint.

Cite this