The long‐term therapeutic effects of His‐Purkinje system pacing on bradycardia and cardiac conduction dysfunction compared with right ventricular pacing: A systematic review and meta‐analysis

2020 ◽  
Vol 31 (5) ◽  
pp. 1202-1210
Author(s):  
Jin‐Yu Sun ◽  
Ye‐Qin Sha ◽  
Qing‐Yang Sun ◽  
Yue Qiu ◽  
Bo Shao ◽  
...  
Keyword(s):  
Systematic Review ◽  
Right Ventricular ◽  
Meta Analysis ◽  
Cardiac Conduction ◽  
Therapeutic Effects ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
Purkinje System

scholarly journals OUTCOMES OF LEFT BUNDLE BRANCH AREA PACING VERSUS RIGHT VENTRICULAR PACING: A SYSTEMATIC REVIEW AND META-ANALYSIS

2021 ◽  
Vol 77 (18) ◽  
pp. 264
Author(s):  
Jian Liang Tan ◽  
Justin Lee ◽  
Vittorio Terrigno ◽  
Benjamin Saracco ◽  
Shivam Saxena ◽  
...  
Keyword(s):  
Systematic Review ◽  
Right Ventricular ◽  
Meta Analysis ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing

scholarly journals Outcomes of conduction system pacing compared to right ventricular pacing as a primary strategy for treating bradyarrhythmia: systematic review and meta-analysis

2021 ◽  
Author(s):  
Amr Abdin ◽  
Suleman Aktaa ◽  
Davor Vukadinović ◽  
Elena Arbelo ◽  
Harran Burri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Right Ventricular ◽  
De Novo ◽  
Meta Analysis ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Ventricular Pacing ◽  
Ventricular Ejection Fraction ◽  
Right Ventricular Pacing ◽  
Procedure Duration

Abstract Background Right ventricular pacing (RVP) may cause electrical and mechanical desynchrony leading to impaired left ventricular ejection fraction (LVEF). We investigated the outcomes of RVP with His bundle pacing (HBP) and left bundle branch pacing (LBBP) for patients requiring a de novo permanent pacemaker (PPM) for bradyarrhythmia. Methods and results Systematic review of randomized clinical trials and observational studies comparing HBP or LBP with RVP for de novo PPM implantation between 01 January 2013 and 17 November 2020 was performed. Random and fixed effects meta-analyses of the effect of pacing technology on outcomes were performed. Study outcomes included all-cause mortality, heart failure hospitalization (HFH), LVEF, QRS duration, lead revision, atrial fibrillation, procedure parameters, and pacing metrics. Overall, 9 studies were included (6 observational, 3 randomised). HBP compared with RVP was associated with decreased HFH (risk ratio [RR] 0.68, 95% confidence interval [CI] 0.49–0.94), preservation of LVEF (mean difference [MD] 0.81, 95% CI − 1.23 to 2.85 vs. − 5.72, 95% CI − 7.64 to -3.79), increased procedure duration (MD 15.17 min, 95% CI 11.30–19.04), and increased lead revisions (RR 5.83, 95% CI 2.17–15.70, p = 0.0005). LBBP compared with RVP was associated with shorter paced QRS durations (MD 5.6 ms, 95% CI − 6.4 to 17.6) vs. (51.0 ms, 95% CI 39.2–62.9) and increased procedure duration (MD 37.78 min, 95% CI 20.04–55.51). Conclusion Of the limited studies published, this meta-analysis found that HBP and LBBP were superior to RVP in maintaining physiological ventricular activation as an initial pacing strategy.

scholarly journals INCIDENCE OF STROKE IN PATIENTS WITH LONG TERM RIGHT VENTRICULAR PACING

2014 ◽  
Vol 63 (12) ◽  
pp. A346
Author(s):  
Sendil Kumar Hari Prasad ◽  
Sreekanth Kondareddy ◽  
Govindarajan Venkatesh ◽  
Dwight Stapleton
Keyword(s):  
Right Ventricular ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing

scholarly journals Effect of Long-Term Right Ventricular Pacing in Young Adults With Structurally Normal Heart

Circulation ◽  
2010 ◽  
Vol 121 (15) ◽  
pp. 1698-1705 ◽  
Author(s):  
Sandeep Sagar ◽  
Win-Kuang Shen ◽  
Samuel J. Asirvatham ◽  
Yong-Mei Cha ◽  
Raul E. Espinosa ◽  
...  
Keyword(s):  
Young Adults ◽  
Right Ventricular ◽  
Ventricular Pacing ◽  
Normal Heart ◽  
Right Ventricular Pacing

Long-Term Nonoutflow Septal Versus Apical Right Ventricular Pacing: Relation to Left Ventricular Dyssynchrony

2009 ◽  
Vol 32 (3) ◽  
pp. 354-362 ◽  
Author(s):  
PANAYOTA FLEVARI ◽  
DIONYSSIOS LEFTHERIOTIS ◽  
KATERINA FOUNTOULAKI ◽  
FOTIS PANOU ◽  
ANGELOS G. RIGOPOULOS ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Left Ventricular ◽  
Left Ventricular Dyssynchrony ◽  
Ventricular Pacing ◽  
Right Ventricular Pacing ◽  
Ventricular Dyssynchrony
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