Document Detail


Biventricular pacing for heart failure alters electro-mechanical coupling of both ventricles.
MedLine Citation:
PMID:  16211127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The exact mechanisms whereby biventricular pacing enables cardiac resynchronisation are not completely understood. This study looked at the effect of biventricular pacing on interventricular asynchrony in patients submitted to biventricular pacing.
METHODS: A prospective series of 13 consecutive patients were selected from those referred for biventricular pacing. Criteria used included heart failure and QRS factors, as well as echocardiographic evidence of both intraventricular and interventricular asynchrony. Midterm follow-up of clinical and echocardiographic parameters are presented.
RESULTS: All patients' clinical conditions improved significantly. Expectedly, diastolic filling parameters, ejection fraction and mitral regurgitation also improved significantly. The difference in the timing of left and right ventricular ejections of 65 ms at the baseline was corrected to 3 to 5 ms during six-month follow-ups after biventricular pacing. This effect was achieved by significant shortening of the left ventricular pre-ejection interval by 29 to 39 ms (p < 0.01) and by significant prolonging of the right ventricular pre-ejection interval by 18 to 30 ms (p < 0.01).
CONCLUSION: Complete interventricular mechanical resynchronisation due to biventricular pacing occurred not only by the expected advancement in left ventricular ejection, but also by a delay in right ventricular ejection. The specific significance of correcting interventricular asynchrony with regard to the benefit and selection of patients for resynchronisation therapy remains to be fully established.
Authors:
Miroslav J Munclinger; Andrew S Thornton; Malgorziata M Wasiak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular journal of South Africa : official journal for Southern Africa Cardiac Society [and] South African Society of Cardiac Practitioners     Volume:  16     ISSN:  -     ISO Abbreviation:  Cardiovasc J S Afr     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-10-07     Completed Date:  2006-01-31     Revised Date:  2014-01-13    
Medline Journal Info:
Nlm Unique ID:  100964061     Medline TA:  Cardiovasc J S Afr     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  220-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiac Pacing, Artificial*
Female
Heart Failure / therapy*,  ultrasonography
Humans
Male
Middle Aged
Myocardial Contraction / physiology
Pacemaker, Artificial
Stroke Volume
Ventricular Function* / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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