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Reducing right ventricular pacing burden: algorithms, benefits, and risks.

Lior Jankelson1, Pierre Bordachar2, Mark Strik2

  • 1Lenon H. Charney Devision of Cardiology, Cardiac Electrophysiology, NYU Langone Health, New York University School of Medicine, NY, USA.

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
|November 15, 2018
PubMed
Summary
This summary is machine-generated.

Modern pacemakers offer algorithms to reduce right ventricular pacing. This review details their technical and clinical aspects, including potential adverse effects, for safe and optimal use.

Keywords:
AlgorithmMinimizing ventricular pacingPacing-induced cardiomyopathyRight ventricular pacing burden

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Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Medical Device Technology

Background:

  • Right ventricular pacing is common in modern implantable devices.
  • Algorithms exist to minimize the burden of right ventricular pacing.
  • Understanding these algorithms is crucial for safe and effective patient care.

Purpose of the Study:

  • To review the technical and clinical aspects of rhythm management algorithms.
  • To provide an update on recent modifications to these pacing algorithms.
  • To highlight potential adverse phenomena associated with algorithms minimizing pacing.

Main Methods:

  • Literature review of rhythm management algorithms in implantable pacing devices.
  • Analysis of technical specifications and clinical outcomes.
  • Discussion of recent advancements and modifications.

Main Results:

  • Detailed examination of various algorithms designed to reduce right ventricular pacing burden.
  • Identification of potential unfavorable effects and adverse phenomena.
  • Update on recent modifications enhancing algorithm performance.

Conclusions:

  • Safe and optimal utilization of pacing algorithms requires understanding their properties and potential drawbacks.
  • Ongoing research and development are refining algorithms to improve patient outcomes.
  • Awareness of algorithm-induced adverse phenomena is essential for clinicians.