Right Ventricular Septal Pacing vs. Right Ventricular Apical Pacing Following Atrioventricular Node Ablation: A 10-Year Follow-up

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Eysenck William; SulkeSulke Neil; Gallagher Angela; Jouhra Fadi; Patel Nikhil; Furniss Stephen; Veasey Rick

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Journal: INTERNATIONAL CARDIOVASCULAR RESEARCH JOURNAL Year:2018 | Volume:12 | Issue:3 Page(s): 90-98

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Title

Right Ventricular Septal Pacing vs. Right Ventricular Apical Pacing Following Atrioventricular Node Ablation: A 10-Year Follow-up

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Keywords

Heart Failure Heart Ventricles Ablation

Abstract

Background: Right Ventricular Septal (RVS) pacing is often recommended as a more physiological alternative to Right Ventricular Apical (RVA) pacing. Objectives: This study aimed to determine the long-term outcomes in patients persistently paced following Atrioventricular Node (AVN) ablation. Materials and Methods: This study was conducted on 200 patients who underwent Permanent Pacemaker (PPM) implantation prior to AVN ablation with either RVA-or RVS-pacing. Primary endpoints were hospitalization due to Heart Failure (HF) and death. Secondary endpoints included changes in Ejection Fraction (EF), inter-and intraventricular dyssynchrony measures, and paced QRS duration. Demographic data were obtained from all patients. In addition, CT chest examinations were analyzed to confirm RVS lead position. Results: The mean survival time from AVN ablation was 6. 32 ± 4. 294 years in the RVA group and 3. 00 ± 2. 546 years in the RVS group (hazard ratio = 3. 512, P = 0. 0001). The results showed no significant differences between the two sites regarding hospitalization due to HF. Baseline and follow-up EFs were respectively 48. 4 ± 13. 8% and 53. 1 ± 8. 5% for RVA pacing and 52. 0 ± 10. 6% and 55. 2 ± 11. 3% for RVS pacing (P = 0. 911). Moreover, 76% of the patients in the RVS group had a septal lead confirmed on CT chest review. Twentyfour percent of the RVS leads were in alternate sites, including the RVA and free wall. Conclusions: The results revealed was no diminution in EF with either lead position at long-term follow-up. The mortality rate was significantly less in RVA pacing compared to documented septal pacing although a quarter of the RVS leads were found in alternate sites on CT chest review.

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APA: Copy

Eysenck, William, SulkeSulke, Neil, Gallagher, Angela, Jouhra, Fadi, Patel, Nikhil, Furniss, Stephen, & Veasey, Rick. (2018). Right Ventricular Septal Pacing vs. Right Ventricular Apical Pacing Following Atrioventricular Node Ablation: A 10-Year Follow-up. INTERNATIONAL CARDIOVASCULAR RESEARCH JOURNAL, 12(3), 90-98. SID. https://sid.ir/paper/752674/en

Vancouver: Copy

Eysenck William, SulkeSulke Neil, Gallagher Angela, Jouhra Fadi, Patel Nikhil, Furniss Stephen, Veasey Rick. Right Ventricular Septal Pacing vs. Right Ventricular Apical Pacing Following Atrioventricular Node Ablation: A 10-Year Follow-up. INTERNATIONAL CARDIOVASCULAR RESEARCH JOURNAL[Internet]. 2018;12(3):90-98. Available from: https://sid.ir/paper/752674/en

IEEE: Copy

William Eysenck, Neil SulkeSulke, Angela Gallagher, Fadi Jouhra, Nikhil Patel, Stephen Furniss, and Rick Veasey, “Right Ventricular Septal Pacing vs. Right Ventricular Apical Pacing Following Atrioventricular Node Ablation: A 10-Year Follow-up,” INTERNATIONAL CARDIOVASCULAR RESEARCH JOURNAL, vol. 12, no. 3, pp. 90–98, 2018, [Online]. Available: https://sid.ir/paper/752674/en

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