?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Pacing+for+the+Suppression+of+Paroxysmal+Atrial+Fibrillation+in+an+87-year-old+Patient%0A&rft.creator=Levine%2C+Paul+A.&rft.creator=Wachsner%2C+Robin&rft.creator=El-Bialy%2C+Adel&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Background%3A+Sinus+node+dysfunction%2C+atrioventricular+(AV)+block+and+atrial+fibrillation+(AF)+are+associated+with+advanced+age.++Required+therapy+commonly+includes+pacemaker+implantation.++%0A%0AMethods%3A+We+report+the+course+of+therapy+for+an+87-year-old+with+symptomatic+sinus+node+dysfunction+and+paroxysmal+atrial+fibrillation+who+was+intolerant+of+drug+therapy.%0A%0AResults%3A+The+patient++received+a+pacemaker+for+treatment+of+sick+sinus+syndrome.+She+continued+to+have+symptomatic+episodes+of++AF+and+was+intolerant+of+pharmacologic+therapy+despite+adequate+rate+support+provided+by+the+pacemaker.++The+AF+suppression+algorithm+in+the+pacemaker+was+enabled%2C+resulting+in+the+elimination+all+AF+episodes+effectively+eliminating+the+need+for+antiarrhythmic+medication.+++If+this+continues+to+stabilize+her+atrium%2C+withdrawal+of+anticoagulation+therapy+is+anticipated.+%0A%0AConclusions%3A+The+clinical+presentation+of+sinus+node+dysfunction+and+related+conduction+abnormalities+is+common+in+the+elderly.++Pharmacologic+management+is+often+a+challenge+in+the+presence+of+the+advanced+age+and+concomitant+disease+processes.+In+individuals+who+have+paroxysmal+atrial+fibrillation+or+are+likely+to+develop+this+and+who+need+a+pacemaker+for+standard+indications%2C+the+availability+of+an+AF+Suppression%E2%84%A2++algorithm+may+facilitate+their+management+without+needed+to+use+medications+or+being+able+to+utilize+lower+doses+of+those+medications.++&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2003-04&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4289%2F1%2Flevine3.htm&rft.identifier=++Levine%2C+Paul+A.+and+Wachsner%2C+Robin+and+El-Bialy%2C+Adel++(2003)+Pacing+for+the+Suppression+of+Paroxysmal+Atrial+Fibrillation+in+an+87-year-old+Patient.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4289%2F