Optimal right ventricular pacing site in chronically implanted patients

作者: Frederic Victor , Christophe Leclercq , Philippe Mabo , Dominique Pavin , Anne Deviller

DOI: 10.1016/S0735-1097(98)00589-0

关键词: AnesthesiaAtrial fibrillationCardiac outputMedicineHemodynamicsHeart blockEjection fractionElectrocardiographyAtrium (heart)Ventricular outflow tractInternal medicineCardiology

摘要: Abstract Objectives To evaluate the long-term functional and hemodynamic effects of right ventricular outflow tract (RVOT) pacing by comparison with apical (RVA) pacing. Background Acute studies have suggested that RVOT could significantly improve cardiac performance in RVA but no data are available chronically implanted patients. Methods Sixteen patients chronic atrial tachyarrhythmia complete AV block were included. Left ejection fraction (LVEF) was ≥40% ten Results No significant difference observed between two modes for all parameters analyzed. These identical results globally, LVEF as those Conclusions Within limits this study, symptomatic improvement or benefit noted after three months pacing,

参考文章(23)
EDWARD S. BARIN, SUSAN M. JONES, DAVID E. WARD, A. JOHN CAMM, ANTHONY W. NATHAN, The right ventricular outflow tract as an alternative permanent pacing site: long-term follow-up. Pacing and Clinical Electrophysiology. ,vol. 14, pp. 3- 6 ,(1991) , 10.1111/J.1540-8159.1991.TB04040.X
Marten Rosenqvist, Karl Isaaz, Elias H. Botvinick, Michael W. Dae, James Cockrell, Joseph A. Abbott, Nelson B. Schiller, Jerry C. Griffin, Relative importance of activation sequence compared to atrioventricular synchrony in left ventricular function American Journal of Cardiology. ,vol. 67, pp. 148- 156 ,(1991) , 10.1016/0002-9149(91)90437-P
PHILIPPE MABO, BENJAMIN J. SCHERLAG, ANAND MUNSIF, KENICHIRO OTOMO, RALPH LAZZARA, A Technique for Stable His‐Bundle Recording and Pacing: Electrophysiological and Hemodynamic Correlates Pacing and Clinical Electrophysiology. ,vol. 18, pp. 1894- 1901 ,(1995) , 10.1111/J.1540-8159.1995.TB03838.X
C. Frank O. Tyers, Optimal electrode implantation site for asynchronous dipolar cardiac pacing. Annals of Surgery. ,vol. 167, pp. 168- 179 ,(1968) , 10.1097/00000658-196802000-00003
THOMAS A. BUCKINGHAM, Right ventricular outflow tract pacing. Pacing and Clinical Electrophysiology. ,vol. 20, pp. 1237- 1242 ,(1997) , 10.1111/J.1540-8159.1997.TB06775.X
RICHARD COWELL, JAYNE MORRIS-THURGOOD, CHARLES ILSLEY, VINCENT PAUL, Septal Short Atrioventricular Delay Pacing: Additional Hemodynamic Improvements in Heart Failure Pacing and Clinical Electrophysiology. ,vol. 17, pp. 1980- 1983 ,(1994) , 10.1111/J.1540-8159.1994.TB03784.X
H Ihlen, J P Amlie, J Dale, K Forfang, S Nitter-Hauge, J E Otterstad, S Simonsen, E Myhre, Determination of cardiac output by Doppler echocardiography. Heart. ,vol. 51, pp. 54- 60 ,(1984) , 10.1136/HRT.51.1.54
Peter P. Karpawich, Cheryl D. Justice, Chung-Ho Chang, Carole Y. Gause, Lawrence R. Kuhns, Septal ventricular pacing in the immature canine heart: a new perspective. American Heart Journal. ,vol. 121, pp. 827- 833 ,(1991) , 10.1016/0002-8703(91)90195-N
S. CAZEAU, P. RITTER, S. BAKDACH, A. LAZARUS, M. LIMOUSIN, L. HENAO, O. MUNDLER, J.C. DAUBERT, J. MUGICA, Four chamber pacing in dilated cardiomyopathy. Pacing and Clinical Electrophysiology. ,vol. 17, pp. 1974- 1979 ,(1994) , 10.1111/J.1540-8159.1994.TB03783.X
S.J.D Brecker, H.B Xiao, J Sparrow, D.G Gibson, Effects of dual-chamber pacing with short atrioventricular delay in dilated cardiomyopathy. The Lancet. ,vol. 340, pp. 1308- 1312 ,(1992) , 10.1016/0140-6736(92)92492-X