Pacing Induced Cardiomyopathy: Diagnosis and Management

Permanent pacemaker is the mainstay treatment indicated for bradycardia caused by sinus node dysfunction. However, heart failure may appear in patients with chronic right ventricle pacing, this known as Pacing-Induced Cardiomyopathy (PICM). There no internationally accepted definition diagnosis of PICM. Studies show prevalence PICM 9% first year and increases proportion to duration PPM implantation, but varies widely according diagnostic criteria used. causes a higher all-cause death, hospital admission, cardiac death. Therefore, detecting risk factors be an important part prevention early Once develops, several therapy options are available Cardiac Resynchronization Therapy biventricular Pacemaker currently forefront treatment. But insight into other more novel therapeutic such as; His bundle pacing Left Bundle Branch Pacing shows promising results alternative option near future.