Ventricular septal pacing: Optimum method to position the lead.
Indian Heart J
; 70(5): 713-720, 2018.
Article
em En
| MEDLINE
| ID: mdl-30392512
ABSTRACT
Adverse hemodynamics of right ventricular (RV) pacing is known for years. Several studies have revealed that adverse outcomes of RV apical pacing are directly linked to cumulative percentage of ventricular pacing. Algorithms to minimize ventricular pacing are only effective if there is good atrioventricular (AV) conduction. A need for an alternate site for ventricular pacing is evident in patients with high presumed ventricular pacing burden. Most studied alternate site for ventricular pacing is ventricular septum (outflow tract septum and mid-septum). Conventionally septal position of the ventricular pacing lead is confirmed by fluoroscopic appearance of the lead and characteristics electrocardiographic (ECG) features. However, several recent studies have challenged these fluoroscopic and ECG features as to be inadequate. So, there is need for a systematic approach for septal positioning of the ventricular lead.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Arritmias Cardíacas
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Algoritmos
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Estimulação Cardíaca Artificial
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Eletrocardiografia
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Eletrodos Implantados
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Septo Interventricular
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Sistema de Condução Cardíaco
Limite:
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article