Selective site pacing: defining and reaching the selected site.

Selective site right ventricular pacing has been suggested as an approach to reduce the incidence of ventricular dysfunction and hopefully influence the morbidity resulting from traditional right ventricular apical pacing. Pacing from the right ventricular apex allows a stable ventricular rate, and...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 27; no. 6; pp. 883 - 887
Autores principales: Lieberman R, Grenz D, Mond HG, Gammage MD
Formato: diagnostic images pictorial tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2004 Part 2 of 2
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Selective site pacing: defining and reaching the selected site.
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          Lieberman R
          Grenz D
          Mond HG
          Gammage MD
        affil: Division of Cardiology and Electrophysiology, Harper Hospital, Detroit, MI
      sug:
        subj:
          Cardiac Pacing, Artificial Methods
          Heart Atrium, Right Physiopathology
          Heart Ventricle, Right Physiopathology
          Cardiac Pacing, Artificial Adverse Effects
          Coronary Vessels Physiopathology
      ab: Selective site right ventricular pacing has been suggested as an approach to reduce the incidence of ventricular dysfunction and hopefully influence the morbidity resulting from traditional right ventricular apical pacing. Pacing from the right ventricular apex allows a stable ventricular rate, and together with atrial pacing and sensing, helps maintain atrioventricular synchrony but does not allow physiological activation of the left ventricle. Traditional atrial pacing sites like the right atrial appendage may encourage atrial tachyarrhythmias, whereas lead placement in right atrial septal sites may reduce the frequency of symptomatic atrial tachyarrhythmia episodes, especially when combined with prevention algorithms. Researchers attempting to pace the heart from these selective sites have been hindered by the lack of uniform definitions of where these sites actually lie and the inadequacy of tools to consistently reach these locations and verify correct placement. This lack of definition consensus may have contributed to the apparent conflict of data, particularly in the right ventricle. There is an urgent need for a standardization of terms and identifying measures for selective pacing sites.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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