Abstract
Right ventricular (RV) apical pacing impairs left ventricular function by inducing dyssynchronous contraction and relaxation. Chronic RV apical pacing is associated with an increased risk of atrial fibrillation, morbidity, and even mortality. These observations have raised questions regarding the appropriate pacing mode and site, leading to the introduction of algorithms and new pacing modes to reduce the ventricular pacing burden in dual chamber devices, and a shift of the pacing site away from the RV apex. However, further investigations are required to assess the long-term results of pacing from alternative sites in the right ventricle, because long-term results so far are equivocal. The potential benefit of prophylactic biventricular, monochamber left ventricular, and bifocal RV pacing should be explored in selected patients with a narrow QRS complex, especially those with impaired left ventricular function. His bundle pacing is a promising and evolving technique that requires improvements in lead technology.
| Original language | English |
|---|---|
| Journal | PACE - Pacing and Clinical Electrophysiology |
| Volume | 29 |
| Issue number | SUPPL. 2 |
| DOIs | |
| Publication status | Published - Dec 2006 |
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Keywords
- Biventricular pacing
- Cardiac pacemaker
- Cardiac pacing
- Right ventricular pacing
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Physiologic pacing : New modalities and pacing sites. / Padeletti, Luigi; Lieberman, Randy; Valsecchi, Sergio; Hettrick, Douglas A.
In: PACE - Pacing and Clinical Electrophysiology, Vol. 29, No. SUPPL. 2, 12.2006.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Physiologic pacing
T2 - New modalities and pacing sites
AU - Padeletti, Luigi
AU - Lieberman, Randy
AU - Valsecchi, Sergio
AU - Hettrick, Douglas A.
PY - 2006/12
Y1 - 2006/12
N2 - Right ventricular (RV) apical pacing impairs left ventricular function by inducing dyssynchronous contraction and relaxation. Chronic RV apical pacing is associated with an increased risk of atrial fibrillation, morbidity, and even mortality. These observations have raised questions regarding the appropriate pacing mode and site, leading to the introduction of algorithms and new pacing modes to reduce the ventricular pacing burden in dual chamber devices, and a shift of the pacing site away from the RV apex. However, further investigations are required to assess the long-term results of pacing from alternative sites in the right ventricle, because long-term results so far are equivocal. The potential benefit of prophylactic biventricular, monochamber left ventricular, and bifocal RV pacing should be explored in selected patients with a narrow QRS complex, especially those with impaired left ventricular function. His bundle pacing is a promising and evolving technique that requires improvements in lead technology.
AB - Right ventricular (RV) apical pacing impairs left ventricular function by inducing dyssynchronous contraction and relaxation. Chronic RV apical pacing is associated with an increased risk of atrial fibrillation, morbidity, and even mortality. These observations have raised questions regarding the appropriate pacing mode and site, leading to the introduction of algorithms and new pacing modes to reduce the ventricular pacing burden in dual chamber devices, and a shift of the pacing site away from the RV apex. However, further investigations are required to assess the long-term results of pacing from alternative sites in the right ventricle, because long-term results so far are equivocal. The potential benefit of prophylactic biventricular, monochamber left ventricular, and bifocal RV pacing should be explored in selected patients with a narrow QRS complex, especially those with impaired left ventricular function. His bundle pacing is a promising and evolving technique that requires improvements in lead technology.
KW - Biventricular pacing
KW - Cardiac pacemaker
KW - Cardiac pacing
KW - Right ventricular pacing
UR - http://www.scopus.com/inward/record.url?scp=33751365669&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33751365669&partnerID=8YFLogxK
U2 - 10.1111/j.1540-8159.2006.00493.x
DO - 10.1111/j.1540-8159.2006.00493.x
M3 - Article
C2 - 17169136
AN - SCOPUS:33751365669
VL - 29
JO - PACE - Pacing and Clinical Electrophysiology
JF - PACE - Pacing and Clinical Electrophysiology
SN - 0147-8389
IS - SUPPL. 2
ER -