Does epicardial RV free wall pacing increase the risk of pathologic LV remodelling and failure in paediatric patients?
Epicardial RV free wall pacing is a major independent risk factor for pathologic LV remodelling in pediatric patients and should be avoided.
Right ventricular pacing leads to pathologic LV remodelling in a significant proportion of paediatric patients. The major independent risk factor is the presence of epicardial RV free wall pacing, which should be avoided whenever possible.
Gebauer et al. (Thu,) studied this question.