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April 29, 2012EP Europace1 citationsOpen Access

Non-apical pacing: the right place to the right patient

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Why the study?

Does RVOT pacing improve LVEF and wall motion performance compared to RVA pacing in patients requiring right ventricular pacing?

Population

Patients requiring right ventricular pacing, specifically discussing those with normal versus low baseline…

Comparison

Right ventricular outflow tract pacing /… vs Right ventricular apex (RVA) pacing

Design

Editorial

Follow-up

12 months (referenced study)

Authors

ASAvi ShimonyGAGuy Amit

Discussion

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Overview

RVOT pacing shows no LVEF benefit over RVA in normal baseline function; leaves open possible advantages in reduced-LVEF subgroups.

Structured PICO

Does RVOT pacing improve LVEF and wall motion performance compared to RVA pacing in patients requiring right ventricular pacing?

P
Population
Patients requiring right ventricular pacing, specifically discussing those with normal versus low baseline LVEF
I
Intervention
Right ventricular outflow tract (RVOT) pacing / non-apical pacing
C
Comparator
Right ventricular apex (RVA) pacing
O
Outcome
Left ventricular ejection fraction (LVEF) and LV regional wall motion performancesurrogate

Non-apical (RVOT) pacing does not provide LVEF benefits over apical pacing in patients with normal baseline LVEF, suggesting it should be reserved for those with low baseline LVEF.

Cite This Study

Shimony et al. (2012) studied this question.

synapsesocial.com/papers/6a7262436ceb2bbd16e05afchttps://doi.org/10.1093/europace/eus145
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