Key result
Expert consensus recommends using the right ventricular septum as the endocardial pacing site and the left ventricle as the epicardial pacing site for cardiac pacing in children.
Expert consensus recommends right ventricular septal or left ventricular epicardial pacing in children with complete AV block to prevent dyssynchrony-induced cardiac dysfunction.
May guide site selection in pediatric AV block pacing; leaves open prospective validation of long-term benefit.
Cardiac pacing therapy can treat complete atrioventricular block in children resulting from various causes.It significantly prolonged lives of these patients and has been gradually accepted by pediatricians and parents.The indications for pacemaker implantation in children, path through which pacing leads are implanted and selection of pacing sites have become hot spots for research in this area.Relevant guidelines and expert consensus are continuously updating.The newest expert consensus recommends using right ventricular septum as endocardial pacing site and left ventricle as epicardial pacing site so to avoid cardiac dysfunction caused by left and right ventricular dyssynchrony resulting from long term right ventricular apical pacing.
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Xiaomei Li (2017) conducted a review in Complete atrioventricular block in children. Cardiac pacing therapy was evaluated. Expert consensus recommends using the right ventricular septum as the endocardial pacing site and the left ventricle as the epicardial pacing site for cardiac pacing in children.
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