منابع مشابه
Ventricular pump function and pacing: physiological and clinical integration.
Optimal cardiac pump function depends on ordered mechanical events that are orchestrated by electrical timing. This electromechanical coupling occurs at multiple anatomic levels: within atria, between atria and ventricles, between ventricles, and especially within the left ventricle (LV). Such disruptions to proper electrical timing result in disordered mechanical events (desynchronization, or ...
متن کاملVentricular pacing – Electromechanical consequences and valvular function
Although great strides have been made in the areas of ventricular pacing, it is still appreciated that dyssynchrony can be malignant, and that appropriately placed pacing leads may ameliorate mechanical dyssynchrony. However, the unknowns at present include: 1. The mechanisms by which ventricular pacing itself can induce dyssynchrony; 2. Whether or not various pacing locations can decrease the ...
متن کاملLeft ventricular septal and left ventricular apical pacing chronically maintain cardiac contractile coordination, pump function and efficiency.
BACKGROUND Conventional right ventricular (RV) apex pacing can lead to adverse clinical outcome associated with asynchronous activation and reduced left ventricular (LV) pump function. We investigated to what extent alternate RV (septum) and LV (septum, apex) pacing sites improve LV electric activation, mechanics, hemodynamic performance, and efficiency over 4 months of pacing. METHODS AND RE...
متن کاملLeft ventricular function during and after right ventricular pacing.
OBJECTIVES The aim of this research was to evaluate right ventricular pacing effects on left ventricular function. BACKGROUND Right ventricular pacing alters the ventricular activation sequence and reduces left ventricular ejection fraction (EF). It is unclear whether the observed reduction in EF can be completely attributed to the alteration in activation sequence. METHODS Twelve subjects ...
متن کاملAtrial and Ventricular Pacing
The role of simultaneous and sequential atrioventricular (AV) stimulation in prevention of tachyeardia induction, and the underlying electrophysiologic mechanisms involved, were studied in 10 patients with documented paroxysmal reentrant supraventricular tachycardia (PSVT). Reentry circuit was localized to the AV node in seven of 10. The remaining three cases had Wolff-Parkinson-White (WPW) syn...
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ژورنال
عنوان ژورنال: Circulation: Arrhythmia and Electrophysiology
سال: 2008
ISSN: 1941-3149,1941-3084
DOI: 10.1161/circep.108.777904