Erschienen in:
13.12.2023 | Commentary
Does conduction system pacing result in a lower atrial arrhythmia burden compared to right ventricular pacing?
verfasst von:
Sharath Vipparthy, Venkatesh Ravi
Erschienen in:
Journal of Interventional Cardiac Electrophysiology
|
Ausgabe 3/2024
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Excerpt
Chronic right ventricular (RV) pacing has been associated with significant electro-mechanical dyssynchrony, leading to an increased risk of heart failure and atrial arrhythmias. The left atrial-left ventricular dyssynchrony due to wide-paced QRS duration is thought to increase the left atrial load, causing atrial arrhythmia. The risk of atrial fibrillation (AF) was proportionate to the RV pacing burden in the MOST study population’s DDDR and VVIR arms [
1]. The burden of AF and progression to persistent AF in patients with pre-existing paroxysmal AF was significantly higher in patients with high RV pacing burden in the long-MinVPACE study [
2]. …