Impact of His bundle pacing on right ventricular performance in patients undergoing permanent pacemaker implantation.
Background: His‐Bundle pacing (HBP) is an emerging technique for physiological pacing. However, its effects on right ventricle (RV) performance are still unknown. Methods: We enrolled consecutive patients with an indication for pacemaker (PM) implantation to compare HBP versus RV pacing (RVP) effect...
| Publicado en: | Pacing & Clinical Electrophysiology Vol. 44; no. 6; pp. 986 - 995 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150823189&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150823189 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01478389 4F8 jtl: Pacing & Clinical Electrophysiology issn: 01478389 maglogo: Y pubinfo: dt: Jun2021 vid: 44 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 150823189 150163122 150823189 150823189 10.1111/pace.14249 150823189 ppf: 986 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Impact of His bundle pacing on right ventricular performance in patients undergoing permanent pacemaker implantation. aug: au: Grieco, Domenico Bressi, Edoardo Curila, Karol Padala, Santosh K. Sedlacek, Kamil Kron, Jordana Fedele, Elisa Ionita, Oana Giannuzzi, Sara Fagagnini, Alessandro Panattoni, Germana De Ruvo, Ermenegildo Ellenbogen, Kenneth A. Calò, Leonardo affil: Department of Cardiology, Policlinico Casilino of, Rome, Rome, Italy sug: subj: Heart Ventricle, Right Physiology Cardiac Pacing, Artificial Pacemaker, Artificial Human Male Female Aged Aged, 80 and Over Cardiac Patients Prospective Studies Descriptive Statistics Echocardiography Comorbidity Electrodes, Implanted Systolic Pressure Tricuspid Valve Pathology Data Analysis Software Analysis of Variance Aged: 65+ years Aged, 80 & over Male Female ab: Background: His‐Bundle pacing (HBP) is an emerging technique for physiological pacing. However, its effects on right ventricle (RV) performance are still unknown. Methods: We enrolled consecutive patients with an indication for pacemaker (PM) implantation to compare HBP versus RV pacing (RVP) effects on RV performance. Patients were evaluated before implantation and after 6 months by a transthoracic echocardiogram. Results: A total of 84 patients (age 75.1±7.9 years, 64% male) were enrolled, 42 patients (50%) underwent successful HBP, and 42 patients (50%) apical RVP. At follow up, we found a significant improvement in RV‐FAC (Fractional Area Change)% [baseline: HBP 34 IQR (31–37) vs. RVP 33 IQR (29.7–37.2),p =.602; 6‐months: HBP 37 IQR (33–39) vs. RVP 30 IQR (27.7–35), p <.0001] and RV‐GLS (Global Longitudinal Strain)% [baseline: HBP –18 IQR (–20.2 to –15) vs. RVP –16 IQR (–18.7 to –14), p =.150; 6‐months: HBP –20 IQR(–23 to –17) vs. RVP –13.5 IQR (–16 to –11), p <.0001] with HBP whereas RVP was associated with a significant decline in both parameters. RVP was also associated with a significant worsening of tricuspid annular plane systolic excursion (TAPSE) (p <.0001) and S wave velocity (p <.0001) at follow up. Conversely from RVP, HBP significantly improved pulmonary artery systolic pressure (PASP) [baseline: HBP 38 IQR (32–42) mmHg vs. RVP 34 IQR (31.5–37) mmHg,p =.060; 6‐months: HBP 32 IQR (26–38) mmHg vs. RVP 39 IQR (36–41) mmHg, p <.0001] and tricuspid regurgitation (p =.005) irrespectively from lead position above or below the tricuspid valve. Conclusions: In patients undergoing PM implantation, HBP ensues a beneficial and protective impact on RV performance compared with RVP. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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