Key result
Selective site pacing at the right ventricular outflow tract holds promise for reducing adverse effects of traditional apical pacing, though current data are conflicting.
Why the study?
Does selective site ventricular pacing (right ventricular outflow tract) improve ventricular function and clinical outcomes compared to traditional right ventricular apex pacing?
Population
Patients requiring chronic ventricular pacing
Comparison
Selective site ventricular pacing vs Traditional right ventricular apex pacing
Design
Review
Authors
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Does not support routine RVOT over apical pacing; leaves open need for large RCTs to resolve conflicting data.
Does selective site ventricular pacing (right ventricular outflow tract) improve ventricular function and clinical outcomes compared to traditional right ventricular apex pacing?
Selective site ventricular pacing, particularly at the right ventricular outflow tract, holds promise for reducing adverse effects of chronic apical pacing, but current evidence is conflicting and requires large randomized trials.
McGavigan et al. (2005) conducted a review in Ventricular pacing. Selective site pacing (right ventricular outflow tract) vs. Right ventricular apex pacing was evaluated. Selective site pacing at the right ventricular outflow tract holds promise for reducing adverse effects of traditional apical pacing, though current data are conflicting.
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