Right ventricular inlet septal pacing and right ventricular apical pacing on left ventricular function.docVIP

 PAGE \* MERGEFORMAT 8 Right ventricular inlet septal pacing and right ventricular apical pacing on left ventricular function [Abstract] [Objective] To compare right ventricular inlet septal (RVITS) pacing and right ventricular apex (RVA) pacing on left ventricular function. [Method] 40 patients required a pacemaker placement were randomly divided into two groups, right ventricular inlet septal (RVITS) pacing group and right ventricular apex (RVA) pacing, right ventricular inlet septal (RVITS) pacing groups were using active fixation lead wire line into the right ventricle Road septum fixed, the right ventricular apex (RVA) pacing using a passive fixation lead. preoperative and postoperative 6 months using the same pacing frequency, pacing echocardiography left ventricular ejection fraction, short axis shortening, stroke volume and cardiac output. [results] RVITS interval pacing group after 6 months left ventricular ejection fraction, fractional shortening, stroke volume and cardiac output compared with the preoperative no significant change, RVA pacing after 6 months left ventricular ejection fraction, fractional shortening, stroke volume and cardiac output volume decreased (P lt;0.05). [Conclusion] RVITS pacing follow-up on June No adverse hemodynamic effects, RVITS pacing compared with RVA pacing on left ventricular systolic function is small, is an ideal pacing site. [Keywords:] active fixation lead; passive fixation lead; tissue Doppler; interval pacing 1 Materials and methods Subjects: Selected from October 2007 to June 2009 period, 40 patients in our hospital to be resettled in patients with artificial cardiac pacemakers, including 21 males and 19 females; age from 32 to 83 years of age, 62.6 + -20.3 years old, all were all slow ventricular rate (“50 beats / min), including degree atrioventricular block in 18 cases, 11 type degree persistent AV block in 5 cases, double-knot disease (sick sinus syndrome atrioventricular block) in 6 cases, re