Elucidating the Relationship Between Pacemaker Heart Rates and Pulse Pressure: A Clue to Optimal Programming in Elderly Patients with Cardiovascular Risk

An increased HR to 70 bpm reduced PP in most patients with dual-chamber permanent pacemakers and sinus rhythm, suggesting a way to improve hemodynamics in patients with poor vascular compliance. Customized HR settings may optimize PP and reduce the risk of cognitive decline or stroke. Further research is needed to evaluate for risks of pacemaker-induced cardiomyopathy in individuals requiring frequent ventricular pacing.

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Publication Details

Journal
CJC Open
Published
2025-11-05
DOI
https://doi.org/10.1016/j.cjco.2025.10.014
Primary Topic
Heart rate and cardiovascular health
Type
article
Field-Weighted Citation Impact
0.00

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article

Elucidating the Relationship Between Pacemaker Heart Rates and Pulse Pressure: A Clue to Optimal Programming in Elderly Patients with Cardiovascular Risk

M. Firoz Mian, Habib Khan, Ahmed T. Moustafa
CJC Open
Heart rate and cardiovascular health
article

Elucidating the Relationship Between Pacemaker Heart Rates and Pulse Pressure: A Clue to Optimal Programming in Elderly Patients with Cardiovascular Risk

M. Firoz Mian, Habib Khan, Ahmed T. Moustafa
article en

Abstract

An increased HR to 70 bpm reduced PP in most patients with dual-chamber permanent pacemakers and sinus rhythm, suggesting a way to improve hemodynamics in patients with poor vascular compliance. Customized HR settings may optimize PP and reduce the risk of cognitive decline or stroke. Further research is needed to evaluate for risks of pacemaker-induced cardiomyopathy in individuals requiring frequent ventricular pacing.

CJC OpenVol. 8(2)
Western University (CA), London Health Sciences Centre (CA)
American Heart Association
Openalex Percentile: Top 50%
Heart rate and cardiovascular health
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