TY - JOUR
T1 - The downside of right ventricular apical pacing
AU - Brenyo, Andrew
AU - Goldenberg, Ilan
AU - Barsheshet, Alon
PY - 2012
Y1 - 2012
N2 - The right ventricular (RV) apex has been the standard pacing site since the development of implantable pacemaker technology. Although RV pacing was initially only utilized for the treatment of severe bradyarrhythmias usually due to complete heart block, today the indications for and implantation of RV pacing devices is dramatically larger. Recently, the adverse effects of chronic RV apical pacing have been described including an increased risk of heart failure and death. This review details the detrimental effects of RV apical pacing and their shared hemodynamic pathophysiology. In particular, the role of RV apical pacing induced ventricular dyssynchrony is highlighted with a specific focus on differential outcome based upon QRS morphology at implant.
AB - The right ventricular (RV) apex has been the standard pacing site since the development of implantable pacemaker technology. Although RV pacing was initially only utilized for the treatment of severe bradyarrhythmias usually due to complete heart block, today the indications for and implantation of RV pacing devices is dramatically larger. Recently, the adverse effects of chronic RV apical pacing have been described including an increased risk of heart failure and death. This review details the detrimental effects of RV apical pacing and their shared hemodynamic pathophysiology. In particular, the role of RV apical pacing induced ventricular dyssynchrony is highlighted with a specific focus on differential outcome based upon QRS morphology at implant.
KW - Down side
KW - Right ventricular pacing
UR - http://www.scopus.com/inward/record.url?scp=84861464882&partnerID=8YFLogxK
U2 - 10.1016/S0972-6292(16)30502-2
DO - 10.1016/S0972-6292(16)30502-2
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AN - SCOPUS:84861464882
SN - 0972-6292
VL - 12
SP - 102
EP - 113
JO - Indian Pacing and Electrophysiology Journal
JF - Indian Pacing and Electrophysiology Journal
IS - 3
ER -