인공 심박동기 시술 환자에서 심실동기이상
Ventricular dyssynchrony in patients with permanent pacemaker
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초록
Physicians prefer traditional right ventricular apical pacing to right ventricular outflow tract pacing because of easy accessibility,short procedure time, stable lead function and a low incidence of complications. However, right ventricular apical pacing produce an abnormal pattern of ventricular activation compared with right ventricular outflow tract pacing. There is growing evidence that right apical pacing may have long-term detrimental effects on left ventricular function. The report of Kim et al. in this issue showed that ventricular dyssynchrony was commonly seen in patients with permanent pacemaker implantation. They suggested the role of paced QRS duration to predict ventricular dyssynchrony during the follow-up period in patients with permanent pacemaker. However, a large scaled prospective observational study is needed to assess the factors influencing ventricular dyssynchrony in Korean patients with permanent pacemaker.
Abstract
Physicians prefer traditional right ventricular apical pacing to right ventricular outflow tract pacing because of easy accessibility,short procedure time, stable lead function and a low incidence of complications. However, right ventricular apical pacing produce an abnormal pattern of ventricular activation compared with right ventricular outflow tract pacing. There is growing evidence that right apical pacing may have long-term detrimental effects on left ventricular function. The report of Kim et al. in this issue showed that ventricular dyssynchrony was commonly seen in patients with permanent pacemaker implantation. They suggested the role of paced QRS duration to predict ventricular dyssynchrony during the follow-up period in patients with permanent pacemaker. However, a large scaled prospective observational study is needed to assess the factors influencing ventricular dyssynchrony in Korean patients with permanent pacemaker.
참고문헌 (8)
- Sweeney MO, "Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction", Circulation, 107, pp.2932~2937 (2003), MOde Selection Trial Investigators
- McGavigan AD, "Selective site ventricular pacing", Curr Opin Cardiol, 21, pp.7~14 (2006)
- Schwaab B, "Influence of right ventricular stimulation site on left ventricular function in atrial synchronous ventricularpacing", J Am Coll Cardiol, 33, pp.317~323 (1999)
- Giudici MC, "Comparison of right ventricular outflow tract and apical lead permanent pacing on cardiac output", Am J Cardiol, 79, pp.209~212 (1997)
- Tse HF, "Functional abnormalities in patients with permanent right ventricular pacing: the effects of sites of electrical stimulation", J Am Coll Cardiol, 40, pp.1451~1458 (2002)
- Wilkoff BL, "Dual-chamber pacing or ventricular backup pacing in patients with an implantable defibrillator: the Dual Chamber and VVI Implantable Defibrillator (DAVID) Trial", JAMA, 288, pp.3115~3123 (2002), Dual Chamber and VVI Implantable Defibrillator Trial Investigators
- Miyoshi F, "Prolonged paced QRS duration as a predictor for congestive heart failure in patients with right ventricular apical pacing", Pacing Clin Electrophysiol, 28, pp.1182~1188 (2005)
- Yu CM, "Biventricular pacing in patients with bradycardia and normal ejection fraction", N Engl J Med, 361, pp.2123~2134 (2009)