Prevalence of metabolic syndrome and its association with atrial arrhythmias in patients with implanted permanent pacemaker for cardiac conduction abnormality

Umesh M Pai; Mukund A Prabhu; Dr Tom Devasia; Dr Sudhakar Rao; Rekha V; Jyothi Samanth; Sridevi Prabhu; Hazel Lolita Mathias; Chaithra V

doi:10.1016/j.ihj.2023.10.006

Prevalence of metabolic syndrome and its association with atrial arrhythmias in patients with implanted permanent pacemaker for cardiac conduction abnormality

Indian Heart J. 2023 Nov-Dec;75(6):462-464. doi: 10.1016/j.ihj.2023.10.006. Epub 2023 Oct 31.

Authors

Umesh M Pai¹, Mukund A Prabhu², Dr Tom Devasia³, Dr Sudhakar Rao⁴, Rekha V⁵, Jyothi Samanth⁶, Sridevi Prabhu⁷, Hazel Lolita Mathias⁸, Chaithra V⁹

Affiliations

¹ Department of Cardiovascular Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: umesh.pai@manipal.edu.
² Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: mukund.prabhu@manipal.edu.
³ Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: tom.devasia@manipal.edu.
⁴ Department of Cardiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: msudhakar88@gmail.com.
⁵ Department of Cardiovascular Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: rekha.v@manipal.edu.
⁶ Department of Cardiovascular Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: jyothisamanth@ymail.com.
⁷ Department of Cardiovascular Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: sridevi.santhosh@manipal.edu.
⁸ Department of Cardiovascular Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: mathiashazel31@gmail.com.
⁹ Department of Cardiovascular Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: chaithrav402@gmail.com.

Abstract

The objective of the study was to find the prevalence of metabolic syndrome along with identifying the atrial arrhythmias, QT_C interval, and coronary artery disease among these patients during follow-ups. Among 171 subjects who were implanted with permanent pacemakers, metabolic syndrome was present in 90 (52.6 %). Prevalence of Arrhythmias was 49 (28.7 %), atrial tachycardia (AT)/atrial fibrillation (AF) was seen in 29 (17 %) patients. Our study showed that there is a strong association between metabolic syndrome and atrial arrhythmias. Metabolic syndrome, age, coronary artery disease and Systolic blood pressure were good independent predictors of atrial arrhythmias among patients with pacemaker implantation.

Keywords: Atrial arrhythmia; Metabolic syndrome; Permanent pacemaker implants.

MeSH terms

Atrial Fibrillation* / epidemiology
Atrial Fibrillation* / therapy
Coronary Artery Disease*
Humans
Metabolic Syndrome* / complications
Metabolic Syndrome* / epidemiology
Pacemaker, Artificial* / adverse effects
Prevalence