Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Selective site ventricular pacing.

Andrew D McGavigan1, Harry G Mond

  • 1Department of Cardiology, The Royal Melbourne Hospital, Victoria 3050, Australia.

Current Opinion in Cardiology
|December 16, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Clinical Spectrum of Bradyarrhythmias "To Pace or Not to Pace".

Heart, lung & circulation·2025
Same author

Variability of the PR intervals in Wenckebach atrioventricular block.

Journal of electrocardiology·2024
Same author

Letter to the Editor: An Update on Malpositioned Electrocardiographic Leads - The 'Double Twist'.

Heart, lung & circulation·2024
Same author

Pseudo-2:1 bundle branch block. "Fusion causes confusion".

Journal of arrhythmia·2023
Same author

Type I Second Degree Atrioventricular Block With Dual Atrioventricular Nodal Pathway Conduction.

Heart, lung & circulation·2023
Same author

Incomplete (partial) left anterior hemiblock.

Herzschrittmachertherapie & Elektrophysiologie·2023

Selective site pacing, particularly the right ventricular outflow tract, may reduce adverse effects of traditional ventricular pacing. More research is needed to confirm long-term benefits and standardize pacing site definitions.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Traditional right ventricular apex pacing causes abnormal ventricular depolarization.
  • This can lead to adverse left ventricular changes, increasing patient morbidity and mortality.

Purpose of the Study:

  • To review evidence for selective site pacing as an alternative to right ventricular apex pacing.
  • Focus on the right ventricular outflow tract (RVOT) as a potential pacing site.

Main Methods:

  • Review of existing literature and meta-analyses on RVOT pacing.
  • Analysis of acute, medium-term, and long-term effects of RVOT pacing compared to apical pacing.

Main Results:

  • Conflicting data exist on the acute and medium-term effects of RVOT pacing.

Related Experiment Videos

  • Some studies suggest acute benefit, but trials are often non-randomized and lack standardized definitions.
  • Limited long-term data show mixed results, with some studies indicating equivalency and others suggesting improved ejection fraction with RVOT pacing.

    • Conclusions:

    • Selective site pacing shows promise for mitigating chronic ventricular pacing issues.
    • Further large, prospective, randomized controlled trials are essential to establish efficacy and standardize RVOT pacing.