Pacing Induced Ventricular Dysfunction in a Child: Improvement with Reduction in Paced Rate.

Abstract:

:Right ventricular (RV) pacing can be associated with impairment of left ventricular (LV) function due to electrical dyssynchrony and myocardial remodeling (Janousek et al. in J Cardiovasc Electrophysiol 15:470-474, 2004). RV-pacing induced ventricular dysfunction is reversible by techniques such as biventricular pacing and LV apical or LV free wall pacing or turning the pacemaker off which have all been shown to restore synchrony and improve left ventricular function (Janousek et al. in J Cardiovasc Electrophysiol 15:470-474, 2004; Geldorp et al. in Heart Fail Rev 16:305-314, 2011). We describe an infant with RV-pacing induced cardiomyopathy who improved when the pacing rate was reduced thus demonstrating the relationship between pacing rate and development of LV dysfunction.

journal_name

Pediatr Cardiol

journal_title

Pediatric cardiology

authors

Garg S,Balaji S

doi

10.1007/s00246-017-1629-2

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

1309-1310

issue

6

eissn

0172-0643

issn

1432-1971

pii

10.1007/s00246-017-1629-2

journal_volume

38

pub_type

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