Document Detail

Is right ventricular outflow tract pacing an alternative to left ventricular/biventricular pacing?
MedLine Citation:
PMID:  15189518     Owner:  NLM     Status:  MEDLINE    
The right ventricular apex has been used as the traditional pacing site since the development of transvenous pacing in 1959. Some studies suggest that pacing the right ventricular apex may cause remodeling and is harmful. In the past decade, there have been a multitude of studies of the hemodynamic, electrophysiological, electrocardiographic, and clinical effects of ventricular pacing at other sites. Pacing of the left ventricle singly or with biventricular pacing has emerged as an effective and safe therapy for moderate to severe congestive heart failure in patients with prolonged QRS complexes. Studies of alternate right ventricular sites, like the right ventricular outflow tract, have given mixed results. Not all patients can be treated with left ventricular pacing, which is a time-consuming and difficult procedure. Right ventricular pacing is easier and less expensive than left ventricular pacing and further study of additional right ventricular sites seems warranted.
Lucie Riedlbauchová; Josef Kautzner; Robert Hatala; Thomas A Buckingham
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  27     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-10     Completed Date:  2004-09-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  871-7     Citation Subset:  IM    
Department of Cardiology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
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MeSH Terms
Bundle of His
Cardiac Pacing, Artificial / methods*
Electrophysiologic Techniques, Cardiac
Heart Ventricles

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