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Updated: Jul 17, 2025

Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
Published on: February 17, 2018
Pacemaker-induced cardiomyopathy
1Shirley Fletcher-Hall is a chief PA in the Department of Hospital Medicine at Montefiore Health System Bronx, N.Y., and a clinical assistant professor at Marist College in Poughkeepsie, N.Y. The author has disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Chronic right ventricular (RV) pacing is an often-unrecognized cause of cardiomyopathy, despite research that has revealed that chronic RV pacing can cause significant cardiomyopathy and heart failure, leading causes of hospitalization in the United States. Studies have found that chronic RV apical pacing results in ventricular dyssynchrony, reduced cardiac function, and heart failure. This article describes the deleterious effects of permanent cardiac pacemakers and their association with cardiomyopathy and heart failure. More research is needed to investigate other forms of pacing and treatment to prevent ventricular dyssynchrony and myocardial remodeling.
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