Effect of pacing the right ventricular mid-septum tract in patients with permanent atrial fibrillation and low ejection fraction.

Abstract:

INTRODUCTION:Permanent right ventricular (RV) pacing leads have been traditionally implanted in the right ventricular apex (RVA). Nowadays, some deleterious effects of RVA pacing have been recognized. The aim of this study was to evaluate the effect of different sites of RV pacing in patients with permanent atrial fibrillation (AF) and low ejection fraction (LEF) needing a pacemaker (PM) implantation. METHODS:Two hundred seventy-three patients with permanent AF and EF <30% underwent a one-chamber rate responsive (VVIR) PM implant procedure. Patients were divided into two groups: Group A, including 113 patients with the pacing lead tip placed in the RV mid-septum, and Group B of 120 patients with the pacing lead tip placed at the apex of RV. All patients had clinical and Echo control after 1, 3, 6, 12, and 18 months after PM implantation to assess New York Heart Association (NYHA) class and EF. RESULTS:After 18 months, NYHA class changed in Group A from 2.9 +/- 0.4 at implant to 1.7 +/- 0.3 at 18 months (P = 0.01), and in Group B from 3.0 +/- 0.5 at implant to 3.3 +/- 0.6 at 18 months (P = n.s.). EF increased in Group A: 28 +/- 2% at implant, 33 +/- 1% at 18 months (P = 0.0125), while no significant changes were observed in Group B: at implant 27 +/- 2%, 26 +/- 2% at 18 months (P = n.s.). CONCLUSION:The present study suggests that more physiological pacing from the RV sept can improve EF and quality of life (QoL) in patients with permanent AF and low EF needing a PM.

authors

Muto C,Ottaviano L,Canciello M,Carreras G,Calvanese R,Ascione L,Iengo R,Accadia M,Celentano E,Tuccillo B

doi

10.1111/j.1540-8167.2007.00914.x

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

1032-6

issue

10

eissn

1045-3873

issn

1540-8167

pii

JCE914

journal_volume

18

pub_type

杂志文章
  • Radiofrequency catheter ablation of multiple morphologies of ventricular tachycardia by targeting a single region of the left ventricle.

    abstract:INTRODUCTION:As treatment options for ventricular tachycardia (VT) continue to evolve, the use of radiofrequency catheter ablation is rapidly expanding. However, in the presence of multiple morphologies of VT, achieving successful results may seem less likely. We report two patients with multiple morphologies of VT who...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1995.tb00378.x

    authors: Underwood RD,Deshpande SS,Biehl M,Cowan M,Akhtar M,Jazayeri MR

    更新日期:1995-11-01 00:00:00

  • Pulmonary vein firing triggering atrial fibrillation after open heart surgery.

    abstract::We report the case of a 44-year-old woman with obstructive hypertrophic cardiomyopathy without history of prior arrhythmias who underwent surgical myectomy. She developed symptomatic postoperative atrial fibrillation (AF) that was refractory to antiarrhythmic therapy and could not be adequately rate controlled. AF alw...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2002.01300.x

    authors: Saad EB,Saliba WI,Marrouche NF,Natale A

    更新日期:2002-12-01 00:00:00

  • Signal transduction in ischemic preconditioning: the role of kinases and mitochondrial K(ATP) channels.

    abstract::Ischemic preconditioning is a phenomenon whereby exposure of the myocardium to a brief episode of ischemia and reperfusion markedly reduces tissue necrosis induced by a subsequent prolonged ischemia. Therefore, it is hoped that elucidation of the mechanism of preconditioning will yield therapeutic strategies capable o...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.1999.tb00251.x

    authors: Baines CP,Cohen MV,Downey JM

    更新日期:1999-05-01 00:00:00

  • Flecainide widens the excitable gap at pivot points of premature turning wavefronts in rabbit ventricular myocardium.

    abstract:INTRODUCTION:The mechanisms by which Class IC drugs slow the rate of functional reentrant arrhythmias are not completely understood. We hypothesized that flecainide widens the excitable gap beyond the pivot point of premature turning wavefronts. METHODS AND RESULTS:In eight perfused subepicardial layers of rabbit left...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2001.01010.x

    authors: Danse PW,Garratt CJ,Allessie MA

    更新日期:2001-09-01 00:00:00

  • Compound motor action potential guided 240 seconds plus bonus freeze for safe and durable left atrial appendage isolation in patients with recurrent persistent atrial fibrillation: How to isolate the appendage with cryoballoon (the CMAP guided ICE-B proto

    abstract:INTRODUCTION:Pulmonary vein isolation (PVI) is the cornerstone ablation strategy for treatment of atrial fibrillation (AF). Ablation outside the PVs is sometimes needed particularly in persistent or longstanding AF. This study reported left atrial appendage isolation (LAAI) using cryoballoon (CB) focusing on technical ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13818

    authors: Chen S,Schmidt B,Bordignon S,Perrotta L,Bologna F,Nagase T,Chun KRJ

    更新日期:2019-02-01 00:00:00

  • Safety and efficacy of catheter ablation for atrial fibrillation in abdominal solid organ (renal and hepatic) transplant recipients: A single-center pilot experience.

    abstract:BACKGROUND:Atrial fibrillation (AF) is common in abdominal solid organ transplant recipients and a cause of morbidity and mortality in this population. However, the outcomes of catheter ablation (CA) in transplant recipients with AF remain unclear. This study aimed to elucidate the outcomes of CA in renal and hepatic t...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14775

    authors: Su X,Zhao X,Long DY,Sang CH,Yu RH,Tang RB,Bai R,Liu N,Jiang CX,Li SN,Guo XY,Wang W,Hu R,Du X,Dong JZ,Ma CS

    更新日期:2020-12-01 00:00:00

  • Combined amiodarone and silymarin treatment, but not amiodarone alone, prevents sustained atrial flutter in dogs.

    abstract:UNLABELLED:Amiodarone/Silymarin Treatment for Sustained Atrial Flutter. INTRODUCTION:Because amiodarone generates free radicals that may mediate amiodarone's toxicity, simultaneous therapy with an antioxidant might be beneficial if the antioxidant did not impair amiodarone's antiarrhythmic action. We tested whether si...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.02446.x

    authors: Vereckei A,Zipes DP,Besch H Jr

    更新日期:2003-08-01 00:00:00

  • Estimation of entrainment response using electrograms from remote sites: validation in animal and computer models of reentrant tachycardia.

    abstract:INTRODUCTION:Studies suggest that entrainment response (ER) of reentrant tachycardia to overdrive pacing can be estimated using signals from sites other than the paced site. METHODS AND RESULTS:A formula for estimation of ER using remote sites against the difference between the postpacing interval (PPI) and tachycardi...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.02105.x

    authors: Hammer PE,Brooks DH,Triedman JK

    更新日期:2003-01-01 00:00:00

  • Continuous rhythm monitoring-guided anticoagulation after atrial fibrillation ablation.

    abstract:INTRODUCTION:Oral anticoagulation (OAC) based on estimated stroke risk is recommended following catheter ablation (CA) of atrial fibrillation (AF), regardless of the extent of arrhythmia control. However, discontinuing OAC in selected patients may be safe. We sought to evaluate a strategy of OAC discontinuation followi...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14864

    authors: Pothineni NVK,Amankwah N,Santangeli P,Schaller RD,Supple GE,Deo R,Nazarian S,Garcia FC,Dixit S,Callans DJ,Marchlinski FE,Frankel DS

    更新日期:2020-12-31 00:00:00

  • Electroanatomic remodeling of the left atrium in paroxysmal and persistent atrial fibrillation patients without structural heart disease.

    abstract:INTRODUCTION:The nature of the atrial substrate thought to contribute toward maintaining atrial fibrillation (AF) outside the pulmonary veins remains poorly defined. Therefore, our objective was to determine whether patients with paroxysmal and persistent AF have an abnormal electroanatomic substrate within the left at...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2011.02178.x

    authors: Teh AW,Kistler PM,Lee G,Medi C,Heck PM,Spence SJ,Sparks PB,Morton JB,Kalman JM

    更新日期:2012-03-01 00:00:00

  • Cardiovascular biomarkers and echocardiographic findings at rest and during graded hypovolemic stress in women with recurrent vasovagal syncope.

    abstract:INTRODUCTION:Vasovagal reflex is the most common type of syncope but its etiology is not fully elucidated. Venous return and cardiac output are key in hemodynamic control. The aim of the study was to assess cardiovascular biomarkers and echocardiographic measures at rest and during hypovolemia in women with and without...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14207

    authors: Lindenberger M,Fedorowski A,Melander O,Gallo W,Engvall J,Skoog J

    更新日期:2019-12-01 00:00:00

  • Idiopathic focal ventricular arrhythmias originating from the anterior papillary muscle in the left ventricle.

    abstract:INTRODUCTION:Focal ventricular arrhythmias (VAs) have been reported to arise from the posterior papillary muscle in the left ventricle (LV). We report a distinct subgroup of idiopathic VAs arising from the anterior papillary muscle (APM) in the LV. METHODS AND RESULTS:We studied 432 consecutive patients undergoing cat...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01448.x

    authors: Yamada T,McElderry HT,Okada T,Murakami Y,Doppalapudi H,Yoshida N,Allred JD,Murohara T,Kay GN

    更新日期:2009-08-01 00:00:00

  • Cardiac electrophysiology in genetically engineered mice.

    abstract::The mouse has become the principal animal model for studying biologic processes in mammals. Major advances in transgene and gene targeting technology enabled manipulation of the mouse genome in a predictable fashion. Mutant mouse strains provide important insights into the molecular mechanisms underlying normal and di...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.2000.tb01806.x

    authors: Gehrmann J,Berul CI

    更新日期:2000-03-01 00:00:00

  • Geographic and racial representation and reported success rates of studies of catheter ablation for atrial fibrillation: Findings from the SMASH-AF meta-analysis study cohort.

    abstract:INTRODUCTION:We performed a systematic review and meta-analysis of geographic and racial representation and reported success rates of studies of catheter ablation for atrial fibrillation (AF). METHODS AND RESULTS:We searched PubMed, Scopus, and Cochrane databases from 1/1/1990 to 8/1/2016 for trials and observational ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,meta分析

    doi:10.1111/jce.13439

    authors: Leef GC,Perino AC,Cluckey A,Yunus FN,Askari M,Heidenreich PA,Narayan SM,Wang PJ,Turakhia MP

    更新日期:2018-05-01 00:00:00

  • Comparison of Left Atrial Bipolar Voltage and Scar Using Multielectrode Fast Automated Mapping versus Point-by-Point Contact Electroanatomic Mapping in Patients With Atrial Fibrillation Undergoing Repeat Ablation.

    abstract:INTRODUCTION:Bipolar voltage criteria to delineate left atrial (LA) scar have been derived using point-by-point (PBP) contact electroanatomical mapping. It remains unclear how PBP-derived LA scar correlates with multielectrode fast automated mapping (ME-FAM) derived scar. We aimed to correlate scar and bipolar voltages...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13151

    authors: Liang JJ,Elafros MA,Muser D,Pathak RK,Santangeli P,Supple GE,Schaller RD,Frankel DS,Dixit S

    更新日期:2017-03-01 00:00:00

  • Comparison between minimal fluoroscopy and conventional approaches for visually guided laser balloon pulmonary vein isolation ablation.

    abstract:INTRODUCTION:Although balloon-based techniques, such as the laser balloon (LB) ablation have simplified pulmonary vein isolation (PVI), procedural fluoroscopy usage remains higher in comparison to radiofrequency PVI approaches due to limited 3-dimensional mapping system integration. METHODS:In this prospective study, ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14546

    authors: Huang HD,Rodriguez JM,Serafini NJ,Macias C,Winterfield J,Sharma PS,Larsen T,Krishnan K,Trohman RG

    更新日期:2020-07-01 00:00:00

  • Atrial arrhythmias in patients with arrhythmogenic right ventricular cardiomyopathy: Prevalence, echocardiographic predictors, and treatment.

    abstract:INTRODUCTION:The clinical role of atrial arrhythmias (AA) in arrhythmogenic right ventricular cardiomyopathy (ARVC) and the echocardiographic variables that predict them are not well defined. We describe the prevalence, types, echocardiographic predictors, and management of AA in patients with ARVC. METHODS:We retrosp...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jce.14069

    authors: Cardona-Guarache R,Åström-Aneq M,Oesterle A,Asirvatham R,Svetlichnaya J,Marcus GM,Gerstenfeld EP,Klein L,Scheinman MM

    更新日期:2019-10-01 00:00:00

  • Occurrence of persistent atrial fibrillation during pacing for sinus node disease: The influence of His bundle pacing versus managed ventricular pacing.

    abstract:INTRODUCTION:In patients with sinus node disease (SND), the dual-chamber pacemaker (PM) is programmed in DDDR mode with an algorithm to avoid unnecessary right ventricular (RV) pacing. This pacing mode may prolong PR interval with consequently atrioventricular (AV) asynchrony which is associated with a higher risk of a...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14810

    authors: Pastore G,Marcantoni L,Lanza D,Maines M,Noventa F,Corbucci G,Rigatelli G,Baracca E,Roncon L,Zanon F

    更新日期:2020-11-11 00:00:00

  • Congenital disorders of cardiac rhythm and conduction.

    abstract::Electrical instability of the heart has numerous congenital origins. This review approaches the problems from a morphological standpoint, utilizing selected examples from my own studies of the human cardiac conduction system performed during the last three decades. Subjects discussed include multifocal Purkinje cell t...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.1993.tb01256.x

    authors: James TN

    更新日期:1993-12-01 00:00:00

  • Programmed ventricular stimulation in patients with active vs previous arrhythmic myocarditis.

    abstract:INTRODUCTION:No studies so far addressed the role of invasive programmed ventricular stimulation (PVS) in myocarditis patient's arrhythmic risk stratification. METHODS AND RESULTS:We present a single-center prospective study on 96 consecutive adult patients (44 ± 13 years, 70.1% males) with myocarditis and ventricular...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14374

    authors: Peretto G,Sala S,Basso C,Della Bella P

    更新日期:2020-03-01 00:00:00

  • Potentiating effect of acetylcholine on stimulation by isoproterenol of L-type Ca2+ current and arrhythmogenic triggered activity in guinea pig ventricular myocytes.

    abstract:INTRODUCTION:The objective of this study was to determine whether the effect of isoproterenol (Iso) to increase L-type Ca2+ current [I(Ca(L))] and action potential duration (APD) was potentiated in ventricular myocytes following termination of an exposure of these cells to acetylcholine (ACh), and whether this potentia...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00959.x

    authors: Song Y,Shryock JC,Belardinelli L

    更新日期:1998-07-01 00:00:00

  • Sophisticated architecture is required for the sinoatrial node to perform its normal pacemaker function.

    abstract::The heart's pacemaker, the sinoatrial node, does not consist of a group of uniform sinoatrial node cells embedded in atrial muscle. Instead, it is a heterogeneous tissue with multiple cell types and a complex structure. Evidence suggests that from the periphery to the center of the sinoatrial node, there is a gradient...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1046/j.1540-8167.2003.02307.x

    authors: Boyett MR,Dobrzynski H,Lancaster MK,Jones SA,Honjo H,Kodama I

    更新日期:2003-01-01 00:00:00

  • Treatment of pyridostigmine-induced AV block with hyoscyamine in a patient with myasthenia gravis.

    abstract::Myasthenia gravis is an autoimmune disorder of the nervous system typically mediated by antibodies against the nicotinic acetylcholine receptor at the neuromuscular junction. Treatment of myasthenia gravis frequently involves the use of cholinesterase inhibitors such as pyridostigmine. Treatment with these agents has ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.00938.x

    authors: Gehi A,Benatar M,Langberg J

    更新日期:2008-02-01 00:00:00

  • Stellate ganglion blockade for the treatment of refractory ventricular arrhythmias: A systematic review and meta-analysis.

    abstract:INTRODUCTION:Treatment refractory ventricular arrhythmias (VAs) are often driven and exacerbated by heightened sympathetic tone. We aim to conduct a systematic review and meta-analysis of published studies of a temporary percutaneous stellate ganglion block (SGB) on VA burden and defibrillation episodes in patients wit...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/jce.13324

    authors: Fudim M,Boortz-Marx R,Ganesh A,Waldron NH,Qadri YJ,Patel CB,Milano CA,Sun AY,Mathew JP,Piccini JP

    更新日期:2017-12-01 00:00:00

  • Pharmacologic management of atrial fibrillation.

    abstract::In an era when many electrophysiologic problems are routinely treated with invasive procedures or implantable devices, drugs remain the cornerstones of treatment for atrial fibrillation. Atrial fibrillation may present as an episodic rhythm in patients who are primarily in sinus rhythm or it may be manifested as rhyth...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.1997.tb00841.x

    authors: Riley RD,Pritchett EL

    更新日期:1997-07-01 00:00:00

  • The different mechanisms between late and very late recurrences of atrial fibrillation in patients undergoing a repeated catheter ablation.

    abstract:INTRODUCTION:The mechanisms of late (<1 year after the ablation) and very late (>1 year after the ablation) recurrences of paroxysmal atrial fibrillation (AF) after catheter ablation have not been reported. METHODS AND RESULTS:Fifty consecutive patients undergoing a repeated electrophysiologic study to investigate the...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2005.00323.x

    authors: Hsieh MH,Tai CT,Lee SH,Lin YK,Tsao HM,Chang SL,Lin YJ,Wongchaoen W,Lee KT,Chen SA

    更新日期:2006-03-01 00:00:00

  • Ablation of atrioventricular nodal reentrant tachycardia in tricuspid atresia.

    abstract::A 31-year-old woman with tricuspid atresia and a palliative Waterston shunt presented with intractable poorly tolerated supraventricular tachycardia. Electrophysiologic evaluation was consistent with AV nodal reentrant tachycardia. The fast pathway region was mapped electroanatomically during tachycardia and with cons...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2004.03546.x

    authors: Khairy P,Seslar SP,Triedman JK,Cecchin F

    更新日期:2004-06-01 00:00:00

  • Strategies for epicardial mapping and ablation of ventricular tachycardia.

    abstract::Catheter ablation for ventricular tachycardia (VT) is becoming an essential component of the successful management of patients with structural heart disease and refractory ventricular arrhythmias. Despite detailed mapping and ablation from the endocardium, nearly a third of VT circuits remain inaccessible. Pericardial...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.2008.01427.x

    authors: Tedrow U,Stevenson WG

    更新日期:2009-06-01 00:00:00

  • "A Song of Ice and Fire"-another verse from the world of ablation.

    abstract::The debate between the use of radiofrequency (RF) or cryoenergy for ablation near the atrioventricular (AV) conducting system or small coronaries has been fueled by the relative efficacies and risks of the two technologies, particularly in smaller hearts. The manuscript by Schneider et al adds another chapter to that ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 评论,社论

    doi:10.1111/jce.13987

    authors: Saul JP,LaPage MJ

    更新日期:2019-07-01 00:00:00

  • What is the mechanism of the atrial arrhythmia in a patient after orthotopic heart transplantation?

    abstract::Atrial arrhythmias are quite common in patients after heart transplantation; they can occur via focal or reentrant mechanisms and are amenable to curative therapy with catheter ablation. Integration of the individual patient's surgical anatomy with the arrhythmia pattern on 12-lead electrocardiogram can help both to n...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2011.02106.x

    authors: Dahu MI,Hutchinson MD

    更新日期:2012-02-01 00:00:00