Pacemaker associated reduction of left ventricle systolic function

نویسندگان

چکیده

In recent years, data have been accumulated on the negative effect of right ventricular (RV) stimulation, leading to left (LV) asynchrony, proarrhythmias and progressive heart failure (HF). On other hand, biventricular pacing has shown affect reduce HF manifestations, improve prognosis in patients with LV dysfunction wide QRS complex. The induced asynchrony from apical is unequivocally associated changes myocardial perfusion, dysfunction, poorer for over time. This led researchers decades look an alternative position electrode placement. incidence pacemaker-induced cardiomyopathy (PICM) ranges 5.9 39% RV pacing, depending given definition limit degree pacing. Upgrading reverse cardiomyopathy. Recently, there evidence a positive His bundle (HBP) treatment PICM even no improvement after question about pathogenetic mechanisms currently unanswered. connection between electrical cardiac pump function clear. There also established relationship coronary blood flow. predisposing individual characteristics patient which these effects are manifested not issue that requires further studies.

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ژورنال

عنوان ژورنال: World Journal Of Advanced Research and Reviews

سال: 2021

ISSN: ['2581-9615']

DOI: https://doi.org/10.30574/wjarr.2021.12.2.0563