Atrial Pacemaker – or in other words, AAI pacemaker is a useful and economical option when pacing is required purely for sinus node dysfunction and where ventricular pacing is not anticipated. Numerous trials have established that dual chamber pacing is the overall better choice for sinus node dysfunction in elderly but for young people, the evidence is less clear. Guidelines recommend a consideration of atrial only pacing in young people given the following factors : Vascular issues, potentially long duration of needing pacing and relative lack for need for ventricular pacing.

 

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