XI International Symposium on Progress in Clinical Pacing

(November 30 – December 3, 2004, Rome, Italy)





Progress in technology and results of clinical studies continuously improves the capability of cardiologists of effectively treating cardiac arrhythmias by using non pharmacological strategies.
The recent congress “Progress in Clinical Pacing” focused on the state-of-the-art status of devices, implantation and electrophysiology techniques application in current clinical approach.
In this book the main works presented at the Symposium are included. They focus on cardiac resynchronization therapy, atrial fibrillation, cardiac pacing, syncope, ICD, electrophysiology and radiofrequency ablation techniques for atrial and ventricular tachyarrhythmias.

Prof. Massimo Santini, MD
Prof. Renato Ricci, MD




CRT (Cardiac Resynchronization Therapy)

Cardiac Output in Sequential Biventricular Pacing with Sinus Rhythm in Heart Failure Patients
M. Heinke, R. Surber, H. Kuehnert, G. Dannberg, H.H. Sigusch, D. Reinhardt and H.R. Figulla

Ischemic Cardiomyopathy and Resynchronization Therapy: Clinical Effects on Ischemic Burden
C. de Cock, L. van Campen, E. Jessurun, C. Allaart and C. Visser

Optimal Lead Position(s) in Cardiac Resynchronization Therapy
H.S. Vos, C.M.C. van Campen, C.C. de Cock, F.C. Visser and C.A. Visser

Cardiac Resynchronisation Therapy: Correlation between Peak Endocardial Acceleration and Aortic VTI Obtained by Standard Echocardiography Measurements
P.P. Delnoy, L. Padeletti, P. Ritter, S. Garrigue and J. Silvestre

Utilization of PMS1000 Programmer to Optimize AV Delay in Biventricular Pacing Systems Irrespective of Make and Model
B. Ismer, T. Körber, G.H. von Knorre, W. Voss, F. Weber, C. Melzer, R. Peters and C.A. Nienaber

Interatrial Conduction Times as a Determinant of Optimal AV Delay Duration in Biventricular Pacing Therapy of CHF Patients
T. Körber, B. Ismer, H-H. Minden, W. Voß, G.H. von Knorre, R. Fink and C.A. Nienaber

Is Bifocal Stimulation a Reasonable Alternative to Biventricular Stimulation?
A. Bulava, J. Lukl and D. Marek

Underdetection of Atrial Flutter in Cardiac Resynchronization Devices
B. Strohmer, C. Schernthaner and M. Pichler

AF in CRT Patients: Results of the Italian AF-CRT Registry
L. Padeletti, F. Bonomi, M.G. Bongiorni, G. Boriani, A. Colella, E. Occhetta, G. Rognoni, R. Mantovan, M. Rossetti and P. Silvestri


Atrial Fibrillation

Atrial Fibrillation: Do We Need To Be Concerned? Epidemiological Review
I.E. Ovsyshcher

Atrial Fibrillation Patients Clinical Features and Treatments. Euro Heart Survey on AF. The Bologna Experience
C. Liying, L. Shu-Zheng, F. Naccarella, Z. Jinrong, Rui Mao, B. Bresciani, M. Gatti, G. Premuda, G. Spinelli, G. Lepera, S. Pazzaglia, F. Iachetti, M. Lavezzi, E. Grillini, A. Bartoletti and S. Sdringola Maranga

Differences in Permanent Versus Chronic Atrial Fibrillation. Euro Heart Survey on Atrial Fibrillation. The Bologna Experience. Part 2
F. Naccarella, C. Liying, L. Shu-Zheng, Z. Jinrong, Rui Mao, B. Bresciani, G. Premuda, G. Spinelli, G. Lepera, F. Trevisani, F. Iachetti, M. Nanni, L. Dall’Arno, A. Bartoletti and S. Sdringola Maranga

Clinical Prediction of Time to Recurrence of Persistent Atrial Fibrillation After Cardioversion
T. Potpara, B. Radojkovic-Cirovic, J. Marinkovic-Eric, M. Grujic, B. Vujisic-Tesic and N. Mujovic

Arial Fibrillation and Embolic Risk
S. Ficili, A. Auriti and M. Santini

Left Atrial Myopathy in Atrial Fibrillation
C. Cianfrocca

Prevention of Atrial Fibrillation Recurrences in Sick Sinus Syndrome with Single Chamber Atrial Pacing
J. Makmur, E. Arosio, G.L. Bergandi and M. Ivaldi

Single, Dual or Biatrial Pacing in Atrial Fibrillation Prevention
G. Senatore, C. Amellone, G. Donnici, B. Giordano, G. Trapani and M. Fazzari

Long Term Performance of a Dynamic Atrial Overdrive Algorithm in Paroxysmal Atrial Fibrillation
L.T. Ricciardi, C. Lau and E. Crystal

Pathophysiological Rationale for Cardiac Vagal Denervation in the Treatment of Atrial Fibrillation
R. Rordorf, G.M. De Ferrari, M. Landolina, F. Frattini, B. Petracci and P.J. Schwartz


Cardiac Pacing

Prevalence of Congestive Heart Failure and Cardiac Peptides in Pacemaker Patients
M. Gwechenberger, M. Huelsmann, S. Graf, R. Berger,
D. Bonderman, B. Stanek, F. Rauscha and R. Pacher

Mitral Regurgitation in Right Ventricular Pacing
Lj. Music, D. Music and A. Boskovic

Predicting the Long-term Health Benefits and Cost-Effectiveness of Implanting Dual Chamber vs. Single Chamber Pacemakers
JJ. Caro and A. Ward

DDD and Single - lead VDD Pacing: Evaluation of Posture and Exercise
I. Zupan, D. Zizek, L. Lipar, S. Terseglav, T. Gabrijelčič and P. Rakovec

All VVI Class III Patients Should Be Upgraded To Biventricular Pacing?
P. Alboni

Is There Any Role of Pacing in Sleep Apnea Detection and Treatment?
C. Scharf, Y. Cho, F. Duru and K.E. Bloch

Successful Implantation of Endovenous Pacing System in a Child with a Rare Congenital Heart Disease
M. Lovric Bencic, B. Marinovic and V. Coric

Reduction of Left Ventricle Outflow Gradient and Mitral Regurgitation Following Implantation of Dual-Chamber Pacemaker (DDD) in a Patient with Hypertrophic Obstructive Cardiomyopathy, Intermittent Second Degree AV Block Type II and Left Bundle Branch Block
D. Kranjčec, S. Pavlović and M. Bergovec

Diagnostic Oesophageal Pacing
B. Brembilla-Perrot

Therapeutic Oesophageal Pacing
S. Sermasi, M. Marconi, M. Mezzetti and G. Piovaccari



Permanent Cardiac Pacing in the Treatment of Neuro-mediated Syncope
F. Lombardi and P. Terranova

Implantable Loop Recorders are Cost-Effective in the Investigation of Unexplained Syncope
A.D. Krahn, G.J. Klein, R. Yee, L.J. Gula and A.C. Skanes

Tilt Training a Treatment Recurrent Vasovagal Syncope
J. Šimon and J. Jírovcová

ICDs and Ventricular Tachyarrhythmias Worldwide ICD and Other Devices Implantation Data in U.S., Europe and Asia-Pacific Areas with Specific Reference to China
F. Naccarella, C. Liying, Z. Jinrong, L. Shu-Zheng, A. Bernasconi, D. Bijno, C. Crippa, F. Iachetti, S. Sdringola Maranga, Z. Yujie, Z. Yingxin and G. Naccarelli

All MADIT-II Type Patients Should NOT Receive an ICD
J.G.F. Cleland and P. Velavan

Every Patient on Transplant List Needs an ICD
M. Fromer

The Wearable Cardioverter Defibrillator – Device Description and Initial Clinical Experience
S . Reek and H.U. Klein

Single Chamber, Double Chamber or Biventricular Pacing for MADIT II Patients?
A. Quesada, V. Palanca, R. Payá, J. Jiménez, J.R. Balaguer, S. Villalba and J. Roda

Stability of Ventricular Electrical Morphology to Discriminate Ventricular Tachycardia from Ventricular Fibrillation
M. Bernasconi, G. Guenzati and M. Marzegalli

Pattern of Onset of Spontaneous Ventricular Tachyarrhythmias
P. Rossi, A. Casaleggio, A. Faini, T. Guidotto, G. Sartori, G. Musso, R. Mureddu,
E. Casali, V. Malavasi and S. Chierchia

Ventricular Tachycardias and Value of Stored Electrograms in Pacemaker Patients
S. Paraskevaidis, K. Polymeropoulos, A. Ziakas, C. Girassis,
G. Pechlivanidis, J. Styliadis and G. Louridas

Effectiveness, Safety and Reduction of the Time of Ventricular Fibrillation Induction with DC-Fibber Method
C. Muto, M. Canciello, G. Carreras, C. Sacra, B. Tuccillo, D. Damaso and E. Romano

Electrophysiology and RF Ablation for Atrial Tachyarrhythmias Atrial Fibrillation in WPW Syndrome During Childhood and Adolescence
S. Tadic, M. Grujic and R. Papic

Ablation for Asymptomatic Wolff Parkinson White Syndrome: Is it Time to Revisit the Guidelines?
A.D. Krahn, G. Klein, A.C. Skanes, L.J. Gula and R. Yee

Atypical Atrial Flutter
M. Scheinman and Y. Yang

Post Incisional Atrial Tachyarrhythmias
C. Piorkowski, G. Hindricks, H. Tanner, J. Nielsen and H. Kottkamp

Evaluation of the Anatomy and Diameter of the Pulmonary Veins
L. De Roy

Conduction Recurrence Across RF Lesions Producing Electrical Disconnection at the Pulmonary Vein Ostium in Patients with Atrial Fibrillation
C. Liying, L. Shu-Zheng, R. Cappato, D. Pecora, S. Bentivegna, P.P. Lupo, C. Esposito, S. Foresti, L. De Ambroggi, F. Furlanello, S. Nardi and F. Naccarella

Right Atrial Radiofrequency Compartimentalization in Patients with Atrial Fibrillation. Left Atrial Effects by Electroanatomic Carto Evaluation
R. Luise, G. D’Orazio, G. Muoio, S. De Iorio, G. Marrone and P. Di Napoli

Left Atrial Ablation Using Intracardiac Echocardiography
Y.-K. Higashi, H. Shimojima, K. Wakabayashi, F. Asano, F. Yanagisawa and Y. Takeyama

What Is the Benefit of Long-term Diagnostic Implantable Device to Prove Effectiveness of Ablation of Atrial Arrhytmias in a Hybrid Therapy Approach?
G. Senatore, C. Amellone, G. Donnici, B. Giordano, G. Trapani and M. Fazzari

Electrophysiology and RF Ablation for Ventricular Tachyarrhythmias
Idiopathic Ventricular Fibrillation: Role of EP Studies
F.J. García Fernández, J. Almendral Garrote, A. Arenal Maiz, E. González Torrecilla, F. Atienza Fernández and A. Sánchez

Radiofrequency Catheter Ablation of Incessant Ventricular Tachycardia Due To Right Ventricular Dysplasia in the Setting of Cardiogenic Shock
N. Mujovic, M. Grujic, S. Mrdja and T. Potpara

Electroanatomic Voltage Mapping in Arrhythmogenic Right Ventricular Cardiomyopathy: Comparison with Non Invasive Assessment of Right Ventricle
A. Avella, E. Zachara, F. Laurenzi, P. Di Renzi, F. Albi, F. Re, P. Tanzi and G. Messina

Unsustained Ventricular Tachycardia in Normal Hearts
M.G. Bongiorni, G. Arena, E. Soldati, G. Giannola, C. Bartoli and A. Balbarini

Catecholaminergic Polymorphic Ventricular Tachycardia
A.S. Montenero

Why Ventricular Reentry Does Not Sustain Itself? Lessons Learned from Experimental Models, Holter Monitoring, Mapping, Ablation and ICD Interrogation
F. Naccarella, C. Liying, A. Bartoletti, F. Iachetti, S. Sdringola Maranga, B. Bresciani, Z. Jinrong, L. Shu-Zheng, G. Lepera, G. Spinelli, F. Trevisani, F. Ouyang and R. Cappato

Should Apparently Successful Catheter Ablation Replace ICD Implantation in Patients with Sustained Monomorphic VT?
C. Piorkowski, G. Hindricks, H. Tanner, J. Nielsen and H. Kottkamp



Clinical Features, CAD Patterns, Invasive Procedures in Patients with and Without Diabetes. The Euro Heart Survey on Diabetes. The Bologna Experience
C. Liying, F. Naccarella, L. Shu-Zheng, Zhang Jinrong, Rui Mao, G. Corona, V. Chiarini, P. Bertaccini, B. Bresciani, G. Premuda, G. Spinelli, G. Lepera, S. Pazzaglia, F. Iachetti, M. Lavezzi, E. Grillini, A. Bartoletti, S. Sdringola Maranga and G. Grigoletto

One Year Follow-up of the Euroheart Survey on Diabetes: Coronary and Non Coronary Events, Cardiac Procedures and Hospitalisations in Diabetic Vs Non Diabetic Patients. The Bologna Experience
F. Naccarella, G. Lepera, C. Liying, S. Sdringola Maranga, L. Shu-Zheng, Z. Jinrong, R. Mao, G. Corona, V. Chiarini,
P. Bertaccini, B. Bresciani, G. Premuda, G. Spinelli, F. Trevisani, F. Iachetti, M. Nanni, L. Dall’Arno, A. Bartoletti and G. Grigoletto

Impact of Diabetes on Tachyarrhythmias Prevalence and Treatment Efficacy
E. Baris Kaya, A. Oto and K. Aytemir

Spinal Cord Stimulation for Refractory Angina: Long-term Effect
G.A. Lanza, F. Infusino, G.A. Sgueglia, C. Larosa, C. Aurigemma and A. Sestito

 Via Maserati 5 Bologna Italy   - Tel. +39 051 4151123   Fax +39 051 370529