Atrioventricular Delay in Heart Failure Patients: How to Manage It

  • H. O. Luttikhuis
Conference paper


Since artificial heart stimulation started in the 1960s, with atrium and ventricle of the human heart being electrically connected in such a way as to give a haemodynamically optimal function, diastolic filling time has remained a challenge. In the 1970s, the physiologist Karloff advised that in congenital atrioventricular (AV) block in “normal hearts” an AV delay of 150 ms was needed according to physiological investigations. It is important to realize that during “right heart stimulation” we try to synchronize the left atrium and the left ventricle (LV).


Left Ventricle Right Ventricle Cardiac Resynchronisation Therapy Heart Failure Patient Biventricular Pace 
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Copyright information

© Springer-Verlag Italia 2004

Authors and Affiliations

  • H. O. Luttikhuis
    • 1
  1. 1.Cardiac Thoracic CentreThe Isala ClinicsZwolleThe Netherlands

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