ACCF recommendations: Generally, if there is a sustained P wave duration (long first beat) of more than 120msec, atrial pacing is recommended in this situation. But the American College of Cardiology Foundation recommends that permanent pacing is not recommended to prevent Afib in the absence of another indication for a pacemaker, but does recommend one for patients with Afib and slow heart rate (
Answered 3/10/2020
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