Abstract
It is known that monofocal pacing performed at the apical site of the right ventricle is not physiological. It induces an artificial left bundle block, evidenced by the widening of the evoked QRS complex. This pacing also has a deleterious effect on the patient’s hemodynamics, introducing both systolic and diastolic dysfunction that, in most cases, induces an increase in functional mitral regurgitation.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Xiao HB, Lee CH, Gibson DG (1991) Effect of left bundle branch block on diastolic function in dilated cardiomyopathy. Br Heart J 66:443–447
Hanna SR, Chung ES, Aurigemma G et al (2000) Worsening of mitral regurgitation secondary to ventricular pacing. J Heart Valve Dis 9:273–275
Cannan CR, Higano ST, Holmes DR Jr (1997) Pacemaker induced mitral regurgitation: an alternative form of pacemaker syndrome. Pacing Clin Electrophysiol 20(Pt. 1):735–738
Auricchio A, Stellbrink C, Block M et al 1999) Effect of pacing chamber and atrioventricular delay on acute systolic function of paced patients with congestive heart failure. The Pacing Therapies for Congestive Heart Failure Study Group. The Guidant Congestive Heart Failure Research Group. Circulation 99:2993–3001
Bakker PF, Meijburg H, Jonge N et al (1994) Beneficial effects of biventricular pacing in congestive heart failure. Pacing Clin Electrophysiol 17: 820 (abstract)
Cazeau S, Ritter P, Bakdach S et al (1994) Four chamber pacing in dilated cardiomyopathy. Pacing Clin Electrophysiol 17:1974–1979
Gras D, Mabo P, Tang T et al (1998) Multisite pacing as a supplemental treatment of congestive heart failure: preliminary results of the Medtronic Inc InSync Study. Pacing Clin Electrophysiol 21:2249–2255
Pachon Mateos JC, Albornoz RN, Pachon Mateos EI et al (2000) Right ventricular bifocal stimulation in dilated cardiomyopathy with heart failure. Europace 1 [Suppl D1:210 (abstract)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer-Verlag Italia
About this paper
Cite this paper
Zamparelli, L., Cioffi, L., Di Costanzo, A., De Vivo, S., Settembre, A. (2003). Dual-Site Right Ventricular Pacing In Heart Failure Patients. In: Gulizia, M. (eds) New Advances in Heart Failure and Atrial Fibrillation. Springer, Milano. https://doi.org/10.1007/978-88-470-2087-0_60
Download citation
DOI: https://doi.org/10.1007/978-88-470-2087-0_60
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2169-3
Online ISBN: 978-88-470-2087-0
eBook Packages: Springer Book Archive