Document Detail


Selective site right ventricular pacing.
MedLine Citation:
PMID:  19740773     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The right ventricular apex (RVA) has been the elective site for placing endocardial pacing leads since 1959 when Furman described the use of the transvenous route for pacemaker implantation. This site was used because it is easily accessible, readily identified and associated with a stable position and reliable chronic pacing parameters. It was recognised, however, that pacing from the RVA did not reproduce normal ventricular conduction or contraction. With the advent of reliable active fixation leads, alternative right ventricular sites became accessible and began to be explored. In this review, the detrimental effects of RVA pacing are outlined, the right ventricular outflow tract is defined and the evidence for selective site pacing is discussed.
Authors:
K Albouaini; A Alkarmi; T Mudawi; M D Gammage; D J Wright
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-09-08
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  95     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-30     Completed Date:  2009-12-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  England    
Other Details:
Languages:  eng     Pagination:  2030-9     Citation Subset:  AIM; IM    
Affiliation:
Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK. Albouaini@aol.com
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / therapy*
Cardiac Pacing, Artificial / adverse effects,  methods*
Clinical Trials as Topic
Electrocardiography
Feasibility Studies
Fluoroscopy
Heart Ventricles
Hemodynamics
Humans
Ventricular Dysfunction, Left / physiopathology

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


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