Skip to main content
SpringerLink
Log in

Influence of Right Ventricular Stimulation Site on Left Ventricular Function in Atrial Synchronous Pacing

  • Conference paper
Radioactive Isotopes in Clinical Medicine and Research XXIII

Part of the book series: Advances in Pharmacological Sciences ((APS))

Abstract

In 14 patients with 3rd degree AV block, one pacing lead was implanted in the right ventricular apex, the septal electrode was attached to that site exhibiting the smallest QRS complex. During atrial synchronous ventricular pacing, AV delay was optimized individually for each stimulation site. Phase distribution of left ventricular contraction and systolic function were randomly determined for each pacing site by radionuclide ventriculography. Decreased QRS duration was correlated with less dyssynergy of contraction and with an increase in systolic function. In atrial syncronous pacing, this can be obtained if the pacing site is optimized by surface ECG guidance and the AV delay is adapted individually.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Koch E. Der Kontraktionsablauf an der Kammer des Froschherzens und die Form der entsprechenden Suspensionkurve, mit besonderen Ausführungen über das Alles-oder-Nichts-Gesetz, die Extrasystole und den Herzalternans. Pflügers Arch Physiol 1920; 181: 106–129.

    Article  Google Scholar 

  2. Wiggers CJ. The muscular reactions of the mammalian ventricles to artificial surface stimuli. Am J Physiol 1925; 763: 346–378.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Nuclear Medicine, Saarland University Medical Center, D-66421, Homburg, Germany

    C. Alexander, D. Hellwig, J. B. Bader & C.-M. Kirsch

  2. Department of Cardiology, Saarland University Medical Center, D-66421, Homburg, Germany

    B. Schwaab, G. Fröhlig & H. Schieffer

Authors
  1. C. Alexander
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Schwaab
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Fröhlig
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. Hellwig
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. B. Bader
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. H. Schieffer
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. C.-M. Kirsch
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institut für Biomedizinische Technik und Physik, Allgemeines Krankenhaus Wien, Währinger Gürtel 18-20, A-1090, Wien, Austria

    Helmar Bergmann

  2. Institut für Nuklearmedizin, Wilhelminenspital, Montleartstrasse 37, A-1171, Wien, Austria

    Horst Köhn

  3. Universitäts-Klinik für Nuklearmedizin, Allgemeines Krankenhaus Wien, Währinger Gürtel 18-20, A-1090, Wien, Austria

    Helmut Sinzinger

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer Basel AG

About this paper

Cite this paper

Alexander, C. et al. (1999). Influence of Right Ventricular Stimulation Site on Left Ventricular Function in Atrial Synchronous Pacing. In: Bergmann, H., Köhn, H., Sinzinger, H. (eds) Radioactive Isotopes in Clinical Medicine and Research XXIII. Advances in Pharmacological Sciences. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8782-3_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-0348-8782-3_36

  • Publisher Name: Birkhäuser, Basel

  • Print ISBN: 978-3-0348-9772-3

  • Online ISBN: 978-3-0348-8782-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation