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[Assessment of the left ventricular function in patients with pacemakers VVI and DDD, using non-invasive methods
H Faria1, L A Providência, C Andrade
1Cadeira de Medicina II (Cardiologia), Faculdade de Medicina e Serviço de Cardiologia, Hospitais da Universidade de Coimbra.
Objective:
Determination of left ventricular function, in patients with ventricular inhibited (VVI) and atrioventricular universal (DDD) pacemakers, by measurement of systolic time intervals.
Design:
Twenty six patients were studied (six with DDD pacemakers and twenty with VVI pacemakers). In all of them systolic time intervals measurements were obtained the day before and one week after the implant.
Patients:
We have studied twenty six patients consecutively, and all of them completed the study.
Interventions:
The measurement of systolic time intervals was obtained, by the simultaneous recording of ECG, phonocardiogram and carotid arterial pulse. The recordings were obtained at a paper speed of 100 mm/sec.
Measurements And Results:
The values obtained before the implantation were similar in both groups, but one week after implantation they show a closer to normal ventricular function, in patients with DDD pacemakers.
Conclusions:
The measurements of systolic time intervals, is a very easy method, to determine left ventricular function non invasively. In patients with DDD pacemakers, the left ventricular function, was better than in patients with VVI pacemakers.