Pursuit of physiologic pacing

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Physiologic pacing: where pacing mode selection reflects the indication.

Results of recent trials suggest that in patients with left ventricular dysfunction, interventricular synchrony is possibly more important than atrioventricular synchrony. In patients with AV block and conduction system disease, alternatives to right ventricular apical pacing are therefore needed.

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Clinical trials in patients with pacemakers for sinus node dysfunction or atrioventricular block (AVB) and implantable cardioverter-defibrillators provide increasing evidence showing that desynchronization of ventricular electrical activation and contraction, induced by conventional right ventricular apex (RVA) pacing, is a serious threat for long-term cardiac morbidity and mortality. The risk ...

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Who Needs Physiologic Pacing and Why?

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ژورنال

عنوان ژورنال: Journal of Thoracic Disease

سال: 2018

ISSN: 2072-1439,2077-6624

DOI: 10.21037/jtd.2018.09.123