Conventional right ventricular pacing can induce dyssynchrony and cardiomyopathy, warranting regular echocardiographic monitoring and consideration for CRT upgrade if structural or functional deterioration occurs.
With the advent of cardiac pacemakers more than 60 years ago, the era of artificial cardiac pacing began, which changed the natural history of symptomatic bradycardias, significantly increasing the survival especially of patients with complete atrioventricular block.
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Silas dos Santos Galvão Filho (2020) conducted an editorial in Cardiomyopathy induced by artificial heart stimulation (dyssyncronyomyopathy). Right ventricular pacing vs. Cardiac resynchronization therapy (CRT) or His bundle pacing was evaluated.
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