Acute effects of single-site pacing from the left and right ventricle on ventricular function and ventricular-ventricular interactions in children with normal hearts.

Abstract:

OBJECTIVE:We studied, as a physiological benchmark, acute effects of right ventricular (RV) apical, RV outflow, and left ventricular (LV) pacing in children with normal cardiac function on LV and RV function and ventricular-ventricular interactions. DESIGN:The design of the study was a prospective, acute intervention. SETTING:The study was conducted in a tertiary care electrophysiology laboratory. Population and Methods. Seven children (mean +/- SD, 12 +/- 4 years) were paced after accessory pathway ablation, at baseline (AOO), and with atrioventricular pacing (DOO) from the RV apex, RV outflow, and left ventricle. OUTCOME MEASURES:Right ventricular dP/dT(max) and RV dP/dT(neg) (high-fidelity transducer-tipped catheters, Millar Instruments, Houston, TX, USA), cardiac index (Fick), blood pressure, and QRS duration were measured at each pacing condition. Intra- and interventricular mechanical dyssynchrony, systolic- and diastolic peak tissue velocities, and isovolumic acceleration were recorded by tissue Doppler imaging at the lateral mitral, septal, and tricuspid annuli at each condition. Results at each pacing condition were compared by repeated-measures analysis of variance. Results. Pacing prolonged QRS duration, causing electrical dyssynchrony (86 +/- 19 ms [baseline], 141 +/- 44 ms [RV apex], 121 +/- 18 ms [RV outflow], and 136 +/- 34 ms [LV], P < .01). Right ventricular outflow pacing caused LV intraventricular delay (63 +/- 52 vs. 12 +/- 7 ms, P < .05). Right ventricular apical pacing caused interventricular delay (61 +/- 29 vs. 25 +/- 18 ms, P < .05). There were no significant changes in blood pressure, cardiac index, RV dp/dT(max), RV dP/dT(neg), regional tissue velocities, or isovolumic acceleration during any of the pacing conditions, indicating preserved ventricular function and hemodynamics. No important ventricular-ventricular interactions were seen. CONCLUSIONS:In children with normal cardiac anatomy and function, single-site RV apical, RV outflow, and LV pacing induce electromechanical dyssynchrony without significantly changing ventricular function or hemodynamics, or adversely affecting ventricular-ventricular interactions.

journal_name

Congenit Heart Dis

journal_title

Congenital heart disease

authors

Friedberg MK,Dubin AM,Van Hare GF,McDaniel G,Niksch A,Rosenthal DN

doi

10.1111/j.1747-0803.2009.00327.x

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

356-61

issue

5

eissn

1747-079X

issn

1747-0803

pii

CHD327

journal_volume

4

pub_type

杂志文章
  • Adverse effects of amiodarone therapy in adults with congenital heart disease.

    abstract:OBJECTIVE:Amiodarone is a highly effective antiarrhythmic therapy, however its toxicity profile often limits treatment. This is particularly relevant in adults with congenital heart disease (CHD), who are often young and in whom other antiarrhythmic agents commonly fail or are contraindicated. We sought to determine in...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12657

    authors: Moore BM,Cordina RL,McGuire MA,Celermajer DS

    更新日期:2018-11-01 00:00:00

  • Survival and health in liveborn infants with transposition of great arteries--a population-based study.

    abstract:OBJECTIVE:To describe treatment, survival, and morbidity for liveborn infants with isolated transposition of great arteries (TGA). DESIGN:Population-based data from 7 European registries of congenital malformations (EUROCAT). RESULTS:Ninety-seven infants were diagnosed with isolated TGA and livebirth prevalence was 2...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2007.00093.x

    authors: Garne E,Loane MA,Nelen V,Bakker MK,Gener B,Abramsky L,Addor MC,Queisser-Luft A

    更新日期:2007-05-01 00:00:00

  • Absent aortic valve associated with double outlet right ventricle and aortopulmonary window: physiologic implications of a rare malformation in both the fetus and neonate.

    abstract::Absence of the aortic valve is a rare congenital heart defect that is detectable in the prenatal period. In this condition, functional aortic valve leaflets are absent; in their place are rudimentary, immobile noncoapting plate-like structures at the level of the annulus resulting in severe aortic regurgitation. We re...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12089

    authors: Sabati AA,Wong PC,Randolph L,Pruetz JD

    更新日期:2014-05-01 00:00:00

  • Stress echocardiography: An overview for use in pediatric and congenital cardiology.

    abstract::Currently, the role of stress echocardiography primarily resides in diagnosing acquired coronary artery disease (CAD) in adults. Besides an increasing concern for traditional CAD in young patients due to obesity and other chronic pediatric diseases, there is also a growing population of adolescents and young adults wi...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,评审

    doi:10.1111/chd.12495

    authors: Ermis P

    更新日期:2017-09-01 00:00:00

  • Marfan syndrome type II: there is more to Marfan syndrome than fibrillin 1.

    abstract::Marfan syndrome is a well-described autosomal dominant syndrome with widely variable clinical manifestations. Cardiovascular complications include mitral valve prolapse with or without associated mitral valve insufficiency, aortic root dilatation, and most importantly the occasional development of aortic aneurysms or ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2006.00040.x

    authors: Zangwill SD,Brown MD,Bryke CR,Cava JR,Segura AD

    更新日期:2006-09-01 00:00:00

  • Echocardiographic diagnosis of right ventricular inflow compression associated with pectus excavatum during spinal fusion in prone position.

    abstract:INTRODUCTION:Pectus excavatum is commonly viewed as a benign condition. Associated alterations in hemodynamics are rare. We present an unusual case of right ventricular inflow obstruction and hemodynamic compromise as a consequence of pectus excavatum encountered during surgical intervention. CASE:a 15-year-old male w...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2008.00231.x

    authors: Galas JM,van der Velde ME,Chiravuri SD,Farley F,Parra D,Ensing GJ

    更新日期:2009-05-01 00:00:00

  • Evaluation of Neurodevelopment Using Bayley-III in Children with Cyanotic or Hemodynamically Impaired Congenital Heart Disease.

    abstract:OBJECTIVE:The purpose of this study was to compare neurological development of children with cyanotic or hemodynamically impaired congenital heart disease (CHD) and healthy controls by using "Bayley Scales of Infant and Toddler Development Screening Test, Third Edition" (Bayley-III). PATIENTS:Children with CHD (n = 37...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12269

    authors: Hallioglu O,Gurer G,Bozlu G,Karpuz D,Makharoblidze K,Okuyaz C

    更新日期:2015-11-01 00:00:00

  • Midterm results of surgery for adults with congenital heart disease centralized to a Swedish cardiothoracic center.

    abstract:OBJECTIVE:The surgical management of adults with congenital heart disease (ACHD) offers a great challenge, with a large number of anomalies with complex pathophysiology necessitating specific treatments. Pre- and postoperative morbidity has been relatively high, and the influencing factors are not completely identified...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12000

    authors: Nozohoor S,Gustafsson R,Kallonen J,Sjögren J

    更新日期:2013-07-01 00:00:00

  • Hyponatremia and its association with the neurohormonal activity and adverse clinical events in children and young adult patients after the Fontan operation.

    abstract:BACKGROUND:Hyponatremia (HN) is relatively common in adults with congenital heart disease and is a powerful predictor of mortality. However, the precise relationship of HN to the Fontan pathophysiology remains unknown. PURPOSE:Our study aimed to clarify the association of HN to the Fontan pathophysiology. METHODS AND...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00503.x

    authors: Ohuchi H,Negishi J,Ono S,Miyake A,Toyota N,Tamaki W,Miyazaki A,Yamada O

    更新日期:2011-07-01 00:00:00

  • Diagnostic role of magnetic resonance imaging in identifying aortic arch anomalies.

    abstract:PURPOSE:The aim of this article was to assess the role of MRI in the diagnosis and management of a variety of complex aortic arch anomalies. MATERIALS AND METHODS:Imaging was performed on a 1.5T Philips Gyroscan Intera. We retrospectively reviewed all cardiac MR scans performed from November 2003 to February 2007 at o...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2008.00174.x

    authors: Cantinotti M,Hegde S,Bell A,Razavi R

    更新日期:2008-03-01 00:00:00

  • Effect of Left Cardiac Sympathetic Denervation on the Electromechanical Window in Patients with either Type 1 or Type 2 Long QT Syndrome: A Pilot Study.

    abstract:BACKGROUND:Left cardiac sympathetic denervation (LCSD) exerts significant antifibrillatory effects in patients with long QT syndrome (LQTS). Recently, electromechanical window (EMW) has emerged as a novel torsadogenic marker in LQTS, superior to QT interval (QTc) in distinguishing symptomatic from asymptomatic patients...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12332

    authors: Schneider AE,Bos JM,Ackerman MJ

    更新日期:2016-09-01 00:00:00

  • Metabolic Uncoupling Following Cardiopulmonary Bypass.

    abstract:OBJECTIVE:The objective of this study was to characterize the natural history of metabolic uncoupling (type B hyperlactemia and hyperglycemia) following cardiopulmonary bypass (CPB), and to determine the impact of insulin therapy on time to lactate normalization in patients without low cardiac output. DESIGN:The desig...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12285

    authors: Palermo RA,Palac HL,Wald EL,Wainwright MS,Costello JM,Eltayeb OM,Backer CL,Epting CL

    更新日期:2015-11-01 00:00:00

  • Echocardiographic evaluation of pressure gradient across the stent in patients treated for coarctation of the aorta.

    abstract:OBJECTIVE:Stent placement has become a widely used method of treatment for coarctation of the aorta (COA). Our goal was to find echocardiographic indices that would correlate best with directly measured gradients across the coarctation stent. MATERIAL AND METHODS:Pediatric patients with COA who underwent intra-aortic ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2009.00300.x

    authors: Tang L,Forbes TJ,Du W,Zilberman MV

    更新日期:2009-07-01 00:00:00

  • Transcatheter aortic valve implantation in surgically repaired double outlet right ventricle.

    abstract::A 52-year-old male patient, with a medical history of surgically repaired double outlet right ventricle presented with severe aortic stenosis (AS) and hepatitis C with cirrhosis, presented with New York Heart Association Class IV heart failure. During evaluation for a liver transplant, he was deemed a poor surgical ca...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,评审

    doi:10.1111/chd.12114

    authors: Keswani A,Verma A,Dann K,Ventura L,Lucas V,Shah S,Ramee S

    更新日期:2014-09-01 00:00:00

  • Isolated left ventricular apical hypoplasia.

    abstract::Isolated left ventricular (LV) apical hypoplasia is a recently described congenital abnormality characterized by: (1) a truncated and spherical LV configuration with rightward bulging of the interventricular septum, (2) deficiency of the myocardium within the LV apex with adipose tissue infiltrating the apex, (3) orig...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00489.x

    authors: Vanhecke TE,Decker J,Leonowicz N,Chinnaiyan KM

    更新日期:2011-11-01 00:00:00

  • Clinical, echocardiographic, and therapeutic aspects of congenital heart diseases of children at Douala General Hospital: A cross-sectional study in sub-Saharan Africa.

    abstract:INTRODUCTION:Cardiovascular diseases in pediatric pathologies have emerged in the recent years in sub-Saharan Africa (SSA), with congenital heart diseases (CHDs) being the most frequent. Unfortunately, their diagnosis is usually delayed, thereby increasing childhood morbidity and mortality. OBJECTIVES:Describe the cli...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12529

    authors: Kamdem F,Kedy Koum D,Hamadou B,Yemdji M,Luma H,Doualla MS,Noukeu D,Barla E,Akazong C,Dzudie A,Ngote H,Monkam Y,Mouliom S,Kingue S

    更新日期:2018-01-01 00:00:00

  • Sex-related disparity in surgical mortality among pediatric patients.

    abstract:BACKGROUND:It has been reported that gender differences in cardiovascular outcomes found in adults also are present in children who undergo surgical repair for congenital heart disease. METHODS:California statewide hospital discharge data 1989-99 were used to study outcomes in children <18 years undergoing cardiac sur...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2006.00013.x

    authors: Klitzner TS,Lee M,Rodriguez S,Chang RK

    更新日期:2006-05-01 00:00:00

  • Transient elastography may identify Fontan patients with unfavorable hemodynamics and advanced hepatic fibrosis.

    abstract:BACKGROUND:Transient elastography (TE) offers a noninvasive correlate with the degree of hepatic fibrosis. However, factors other than fibrosis affect liver stiffness. We sought to determine whether hepatic congestion related to hemodynamics in Fontan circulation influences liver stiffness measurement (LSM) assessed by...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12159

    authors: Wu FM,Opotowsky AR,Raza R,Harney S,Ukomadu C,Landzberg MJ,Valente AM,Breitbart RE,Singh MN,Gauvreau K,Jonas MM

    更新日期:2014-09-01 00:00:00

  • Interventricular Dyssynchrony Using Tagging Magnetic Resonance Imaging Predicts Right Ventricular Dysfunction in Adult Congenital Heart Disease.

    abstract:PURPOSE:Right ventricular (RV) failure and ventricular dyssynchrony are strong determinants of prognosis in patients with adult congenital heart disease (ACHD). The aim of this study was to investigate the relationship between interventricular dyssynchrony (IVD) using cine-tagged magnetic resonance imaging (MRI) and RV...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12217

    authors: Nagao M,Yamasaki Y,Yonezawa M,Matsuo Y,Kamitani T,Yamamura K,Sakamoto I,Abe K,Kawanami S,Honda H

    更新日期:2015-05-01 00:00:00

  • A restrictive ventilatory pattern is common in patients with univentricular heart after Fontan palliation and associated with a reduced exercise capacity and quality of life.

    abstract:AIM:The Fontan circulation is highly dependent on ventilation, improving pulmonary blood flow and cardiac output. A reduced ventilatory function is reported in these patients. The extent of this impairment and its relation to exercise capacity and quality of life is unknown and objective of this study. METHODS:This mu...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,多中心研究

    doi:10.1111/chd.12694

    authors: Callegari A,Neidenbach R,Milanesi O,Castaldi B,Christmann M,Ono M,Müller J,Ewert P,Hager A

    更新日期:2019-03-01 00:00:00

  • Echocardiographic and Surgical Correlation of Coronary Artery Patterns in Transposition of the Great Arteries.

    abstract:OBJECTIVE:Determine the accuracy of echocardiography to diagnose coronary anatomy in transposition of the great arteries and to evaluate the effect of accuracy on surgical outcomes and changes in accuracy over time. DESIGN:Retrospective chart review of neonates admitted February 1999 to March 2013 with transposition. ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12338

    authors: Fundora MP,Aregullin EO,Wernovsky G,Welch EM,Muniz JC,Sasaki N,Hannan RL,Burke RP,Lopez L

    更新日期:2016-12-01 00:00:00

  • Current Practice and Utility of Chromosome Microarray Analysis in Infants Undergoing Cardiac Surgery.

    abstract:OBJECTIVE:Traditionally, karyotype and fluorescence in situ hybridization (FISH) were used for cytogenetic testing of infants with congenital heart disease (CHD) who underwent cardiac surgery at our institution. Recently, chromosome microarray analysis (CMA) has been performed in lieu of the traditional tests. A standa...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12241

    authors: Buckley JR,Kavarana MN,Chowdhury SM,Scheurer MA

    更新日期:2015-05-01 00:00:00

  • Fontan operation and the single ventricle.

    abstract::The Fontan operation has gone through multiple incarnations since Fontan and Baudet's initial description in 1971. Through the medical dossier of a patient with a single ventricle, we plot the history of medical, surgical, and percutaneous interventions over the past 40 years, specifically focusing on the Fontan proce...

    journal_title:Congenital heart disease

    pub_type: 历史文章,杂志文章,评审

    doi:10.1111/j.1747-0803.2007.00065.x

    authors: AboulHosn JA,Shavelle DM,Castellon Y,Criley JM,Plunkett M,Pelikan P,Dinh H,Child JS

    更新日期:2007-01-01 00:00:00

  • Rates of autism and potential risk factors in children with congenital heart defects.

    abstract:OBJECTIVE:Atypical development, behavioral difficulties, and academic underachievement are common morbidities in children with a history of congenital heart defects and impact quality of life. Language and social-cognitive deficits have been described, which are associated with autism spectrum disorders. The current st...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12461

    authors: Bean Jaworski JL,Flynn T,Burnham N,Chittams JL,Sammarco T,Gerdes M,Bernbaum JC,Clancy RR,Solot CB,Zackai EH,McDonald-McGinn DM,Gaynor JW

    更新日期:2017-07-01 00:00:00

  • Window-type patent ductus arteriosus with acquired rheumatic mitral stenosis.

    abstract::An 18-year-old patient with a window type of patent ductus arteriosus and acquired rheumatic mitral stenosis is reported for its rarity. The pitfalls in the diagnosis and surgical management of this condition are discussed. ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00558.x

    authors: Talwar S,Upadhyay M,Ramakrishnan S,Gharade P,Choudhary SK,Airan B

    更新日期:2013-01-01 00:00:00

  • Spontaneous closure of a symptomatic coronary artery fistula just within a few days of newborn period.

    abstract::We present a rare case of spontaneous closure of a fistula between the left coronary artery and the right ventricle (RV) within a few days of newborn period. A 14-day-old male newborn was referred to our clinic for investigation of tachypnea and cardiac murmur. A color flow Doppler echocardiography revealed turbulent ...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/chd.12060

    authors: Yilmazer MM,Demir F,Yolbaş I,Bilici M

    更新日期:2014-01-01 00:00:00

  • Cognitive Dysfunction in Children with Heart Disease: The Role of Anesthesia and Sedation.

    abstract::As physicians and caregivers of children with congenital heart disease, we are aware of the increasing need for procedures requiring anesthesia. While these procedures may be ideal for medical and cardiac surgical management, the risks and benefits must be assessed carefully. There are well known risks of cardiovascul...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,评审

    doi:10.1111/chd.12352

    authors: Char D,Ramamoorthy C,Wise-Faberowski L

    更新日期:2016-05-01 00:00:00

  • Video-assisted thoracoscopic surgery: is it a superior technique for the division of vascular rings in children?

    abstract:OBJECTIVE:The use of video-assisted thoracoscopic surgery (VATS) is becoming increasingly common in the treatment of congenital heart defects, particularly for the division of vascular rings. We compare the short-term outcomes of vascular ring division by VATS as opposed to open thoracotomy and discuss new issues raise...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2007.00086.x

    authors: Kogon BE,Forbess JM,Wulkan ML,Kirshbom PM,Kanter KR

    更新日期:2007-03-01 00:00:00

  • Thrombus in right ventricular outflow tract: unique cause of refractory cyanotic spell.

    abstract::Iron deficiency state in patients with cyanotic congenital heart disease can mimic as well as aggravate hyperviscosity symptoms. Correction of iron deficiency in these cases is expected to improve symptoms. We report an unexpected occurrence of refractory cyanotic spell in a child with tetralogy of Fallot due to throm...

    journal_title:Congenital heart disease

    pub_type: 杂志文章

    doi:10.1111/j.1747-0803.2011.00608.x

    authors: Gupta SK,Saxena A,Anil OM,Bisoi AK

    更新日期:2012-07-01 00:00:00

  • Atresia of abdominal aorta in neonate with recanalization and development of normal aortic architecture: case report and review of literature.

    abstract::This is a case report reviewing the presentation and clinical course of a patient diagnosed with abdominal aortic atresia at the level caudal to the superior mesenteric artery. Patients with abdominal aortic atresia need to be evaluated for associated underlying syndromes or diseases. Although the prognosis for this d...

    journal_title:Congenital heart disease

    pub_type: 杂志文章,评审

    doi:10.1111/j.1747-0803.2010.00454.x

    authors: Brown J,Shehata BM,Campbell R

    更新日期:2011-05-01 00:00:00