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April 7, 2022Journal of Arrhythmia7 citationsOpen Access

Risk factors of pacing‐induced cardiomyopathy—Insights from lead position

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TYTomotaka YoshiyamaKSKenji ShimenoYHYusuke Hayashi

Key Result

Right ventricular apex and mid-septum pacing had similar pacing-induced cardiomyopathy rates; preoperative left ventricular end-systolic diameter and paced QRS duration were independent predictors.

Structured PICO

Does 'true' mid-right ventricular septum pacing reduce the incidence of pacing-induced cardiomyopathy compared to right ventricular apex pacing?

P
Population
Patients receiving right ventricular pacing (right ventricular apex pacing group and 'true' mid-right ventricular septum pacing group)
I
Intervention
'true' mid-right ventricular septum pacing
C
Comparator
Right ventricular apex pacing
O
Outcome
Incidence of pacing-induced cardiomyopathy (PICM)

Mid-right ventricular septum pacing does not significantly reduce the incidence of pacing-induced cardiomyopathy compared to right ventricular apex pacing, while preoperative LV end-systolic diameter and paced QRS duration are independent predictors of PICM.

Abstract

There was no significant difference in the incidence of pacing-induced cardiomyopathy between right ventricular apex pacing group and OpenCurlyQuote;true CloseCurlyQuote; mid-right ventricular septum pacing group. The preoperative left ventricular end-systolic diameter and paced QRS duration were independent predictors of PICM.

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Cite This Study

Yoshiyama et al. (2022) studied this question. Right ventricular apex and mid-septum pacing had similar pacing-induced cardiomyopathy rates; preoperative left ventricular end-systolic diameter and paced QRS duration were independent predictors.

synapsesocial.com/papers/6a1578f5a2352da347827c66https://doi.org/10.1002/joa3.12712
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of Pacing-Induced Cardiomyopathy in Patients with Permanent Right Ventricular Pacing and Preserved Left Ventricular Systolic Function2023
  2. 2Pacing‐induced cardiomyopathy after leadless pacemaker implant: It's all about location, location, location2023 · 6 citations
  3. 3The role of contractile dyssynchrony in pacing-induced cardiomyopathy: detailed assessment using index of contractile asymmetry2023 · 1 citations
  4. 4Adverse effects of intracardiac dyssynchrony and right ventricular pacing on contractile function and prognosis2025 · 2 citations
  5. 5Clinical Features, Predictors, and Long-Term Prognosis of Pacing-Induced Cardiomyopathy2019 · 131 citations