101. Development of New‐Onset or Progressive Atrial Fibrillation in Patients With Permanent HIS Bundle Pacing Versus Right Ventricular Pacing: Results From the RUSH HBP Registry
- Author
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Venkatesh Ravi, Dominik Beer, Grzegorz M. Pietrasik, Jillian L. Hanifin, Sara Ooms, Muhammad Talha Ayub, Timothy Larsen, Henry D. Huang, Kousik Krishnan, Richard G. Trohman, Pugazhendhi Vijayaraman, and Parikshit S. Sharma
- Subjects
Atrial fibrillation ,atrial fibrillation progression ,his bundle pacing ,new‐onset atrial fibrillation ,right ventricular pacing ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background Conventional right ventricular pacing (RVP) has been associated with an increased incidence of atrial fibrillation (AF). We sought to compare the occurrence of new‐onset AF and assessed AF disease progression during long‐term follow‐up between His bundle pacing (HBP) and RVP. Methods and Results We included patients undergoing initial dual‐chamber pacemaker implants at Rush University Medical Center between January 1, 2016, and June 30, 2019. A total of 360 patients were evaluated, and 225 patients (HBP, n=105; RVP, n=120) were included in the study. Among the 148 patients (HBP, n=72; RVP, n=76) with no history of AF, HBP demonstrated a lower risk of new‐onset AF (adjusted hazard ratio [HR], 0.53; 95% CI, 0.28–0.99; P=0.046) compared with traditional RVP. This benefit was observed with His or RVP burden exceeding 20% (HR, 0.29; 95% CI, 0.13–0.64; P=0.002), ≥40% (HR, 0.31; P=0.007), ≥60% (HR, 0.35; P=0.015), and ≥80% (HR, 0.40; P=0.038). There was no difference with His or RV pacing burden
- Published
- 2020
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