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Right Ventricular Septal Pacing: A Paradigm Shift

The right ventricular (RV) apex has been considered to be the primary site for ventricular lead implantation since the original descriptions of permanent pacing. However, long-term RV apical pacing has been shown to have negative effects on ventricular function and hemodynamics as a result of ventri...

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Detalles Bibliográficos
Autores principales: Worsnick, Sarah A., Sharma, Parikshit S., Vijayaraman, Pugazhendhi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MediaSphere Medical 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252807/
https://www.ncbi.nlm.nih.gov/pubmed/32494491
http://dx.doi.org/10.19102/icrm.2018.090501
Descripción
Sumario:The right ventricular (RV) apex has been considered to be the primary site for ventricular lead implantation since the original descriptions of permanent pacing. However, long-term RV apical pacing has been shown to have negative effects on ventricular function and hemodynamics as a result of ventricular dyssynchrony. Alternative sites of ventricular pacing, particularly the RV septum and His bundle, have been evaluated for patients with a need for long-term ventricular pacing. In this article, we review the available data on the use of these alternative sites for RV pacing.