Short-Term Effectiveness of Right Ventricular Septal Pacing on Heart Failure

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Chronic Right Ventricular Pacing in the Heart Failure Population

PURPOSE OF REVIEW We review the trials that have demonstrated potentially harmful effects from right ventricular (RV) apical pacing as well as reviewing the evidence of alternative RV pacing sites and cardiac resynchronization therapy (CRT) for patients who have heart failure and atrioventricular (AV) block. RECENT FINDINGS The role of CRT in patients with AV block and impaired left ventricul...

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UNLABELLED It is an unfortunate fact that pacing-induced heart failure after cardiac surgery is frequently ignored by medical professionals. A 60-year-old woman with chronic atrial fibrillation with a single-lead right ventricular permanent pacemaker for a prolonged ventricular pause underwent mitral valve replacement 6 months later for severe stenosis (NYHA functional class III). The patient's...

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Right Ventricular Outflow Tract Septal Pacing Is Superior to Right Ventricular Apical Pacing

BACKGROUND The effects of right ventricular apical pacing (RVAP) and right ventricular outflow tract (RVOT) septal pacing on atrial and ventricular electrophysiology have not been thoroughly compared. METHODS AND RESULTS To identify a more favorable pacing strategy with fewer adverse effects, 80 patients who had complete atrioventricular block with normal cardiac function and who were treated...

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Right Ventricular Septal Pacing: Has it come of age?

Prolonged pacing from the right ventricular (RV) apex has been shown to be associated with progressive left ventricular dysfunction as demonstrated by heart failure, atrial fibrillation and an increased morbidity and mortality [1-6]. This has led to an interest in alternate RV pacing sites and in particular the mid RV septum and the RV outflow tract (RVOT) septum [7-11]. These sites are theoret...

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The right ventricular outflow tract: the road to septal pacing.

BACKGROUND Pacing from the right ventricular apex is associated with long-term adverse effects on left ventricular function. This has fuelled interest in alternative pacing sites, especially the septal aspect of the right ventricular outflow tract (RVOT). However, it is a common perception that septal RVOT pacing is difficult to achieve. METHODS AND RESULTS In this article, we will review the...

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ژورنال

عنوان ژورنال: Japanese Journal of Electrocardiology

سال: 2019

ISSN: 0285-1660,1884-2437

DOI: 10.5105/jse.39.283