Skip Navigation

Europace 2003 5(3):275-278; doi:10.1016/S1099-5129(03)00031-X
© 2003 by European Society of Cardiology
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (61)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by de Cock, C. C.
Right arrow Articles by Twisk, J. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by de Cock, C. C.
Right arrow Articles by Twisk, J. W.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Comparison of the haemodynamic effects of right ventricular outflow-tract pacing with right ventricular apex pacing

A quantitative review

C. C. de Cock1, M. C. Giudici2 and J. W. Twisk3

1Department of Cardiology, VU Medical Center Boelelaan 1117, 1081 HV Amsterdam, The Netherlands; 2Department of Cardiology, Genesis Regional Heart Center 1230 East Rusholme, Davenport, IA 52803, U.S.A.; 3Department of Clinical Epidemiology and Biostatistics, EMGO Institute VU Medical Center Boelelaan 1117, 1081 HV Amsterdam, The Netherlands

The right ventricular apex has been used for cardiac stimulation because this position is easily accessible and is associated with a stable position of the electrode with a low dislodgement rate. This position, however, is associated with a dyssynchronous left ventricular contraction with subsequent deleterious haemodynamic effects. Alternative stimulation sites have been studied extensively because of a potentially better haemodynamic effect compared with right ventricular apex pacing.

Using a Cochrane search strategy, nine studies were selected to analyze the haemodynamic effects of right ventricular outflow-tract pacing. The results of these studies (n=217) were pooled and indicated a significantly better haemodynamic effect (odds ratio 0.34, confidence interval 0.15–0.53) compared with right ventricular apex pacing. Therefore, these data suggest that right ventricular outflow-tract pacing may offer a modest but significant benefit over right ventricular apex pacing in patients selected for pacemaker implantation on the basis of symptomatic bradyarrhythmias.

Key Words: Right ventricular outflow-tract pacing, haemodynamics

Correspondence: C. C. de Cook, Department of Cardiology, VU Medical Center, 6 Noord 120, Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. Tel.: +31-20-444-22-44; Fax: +31-20-444-24-46; E-mail: c.c.dcock{at}azvu.nl


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Circ Arrhythm ElectrophysiolHome page
R. W. Mills, R. N. Cornelussen, L. J. Mulligan, M. Strik, L. M. Rademakers, N. D. Skadsberg, A. van Hunnik, M. Kuiper, A. Lampert, T. Delhaas, et al.
Left Ventricular Septal and Left Ventricular Apical Pacing Chronically Maintain Cardiac Contractile Coordination, Pump Function and Efficiency
Circ Arrhythm Electrophysiol, October 1, 2009; 2(5): 571 - 579.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
L. F. Tops, M. J. Schalij, and J. J. Bax
The effects of right ventricular apical pacing on ventricular function and dyssynchrony implications for therapy.
J. Am. Coll. Cardiol., August 25, 2009; 54(9): 764 - 776.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
P. P. H.M. Delnoy, J. P. Ottervanger, H. O. Luttikhuis, D. H.S. Vos, A. Elvan, A. R. Ramdat Misier, W. P. Beukema, P. Steendijk, and N. M. van Hemel
Pressure-volume loop analysis during implantation of biventricular pacemaker/cardiac resynchronization therapy device to optimize right and left ventricular pacing sites
Eur. Heart J., April 1, 2009; 30(7): 797 - 804.
[Abstract] [Full Text] [PDF]

Home page
 EuropaceHome page
U. Bildirici, A. Vural, A. Agacdiken, T. Sahin, U. Celikyurt, T. Kilic, and D. Ural
Comparison of the effects of left vs. right ventricular pacing on left ventricular remodelling
Europace, December 1, 2008; 10(12): 1387 - 1391.
[Abstract] [Full Text] [PDF]

Home page
 ANGIOLOGYHome page
A. S. Manolis, D. Sakellariou, and G. K. Andrikopoulos
Alternate Site Pacing in Patients at Risk for Heart Failure
Angiology, August 1, 2008; 59(2_suppl): 97S - 102S.
[Abstract] [PDF]

Home page
 Circ Arrhythm ElectrophysiolHome page
M. O. Sweeney and F. W. Prinzen
Ventricular Pump Function and Pacing: Physiological and Clinical Integration
Circ Arrhythm Electrophysiol, June 1, 2008; 1(2): 127 - 139.
[Full Text] [PDF]

Home page
 EuropaceHome page
A. E. Albertsen, J. C. Nielsen, S. H. Poulsen, P. T. Mortensen, A. K. Pedersen, P. S. Hansen, H. K. Jensen, and H. Egeblad
Biventricular pacing preserves left ventricular performance in patients with high-grade atrio-ventricular block: a randomized comparison with DDD(R) pacing in 50 consecutive patients
Europace, March 1, 2008; 10(3): 314 - 320.
[Abstract] [Full Text] [PDF]

Home page
 EuropaceHome page
A. E. Albertsen, J. C. Nielsen, S. H. Poulsen, P. T. Mortensen, A. K. Pedersen, P. S. Hansen, H. K. Jensen, and H. Egeblad
DDD(R)-pacing, but not AAI(R)-pacing induces left ventricular desynchronization in patients with sick sinus syndrome: tissue-Doppler and 3D echocardiographic evaluation in a randomized controlled comparison
Europace, February 1, 2008; 10(2): 127 - 133.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
R E Lane, J Mayet, N S Peters, D W Davies, and A W C Chow
Comparison of temporary bifocal right ventricular pacing and biventricular pacing for heart failure: evaluation by tissue Doppler imaging
Heart, January 1, 2008; 94(1): 53 - 58.
[Abstract] [Full Text] [PDF]

Home page
 EuropaceHome page
J. C.J. Res, M. J.J.A. Bokern, C. C. de Cock, T. van Loenhout, P. N.A. Bronzwaer, H. A.M. Spierenburg, and on behalf of the BRIGHT Investigators
The BRIGHT study: bifocal right ventricular resynchronization therapy: a randomized study
Europace, October 1, 2007; 9(10): 857 - 861.
[Abstract] [Full Text] [PDF]

Home page
 EuropaceHome page
Authors/Task Force Members, P. E. Vardas, A. Auricchio, J.-J. Blanc, J.-C. Daubert, H. Drexler, H. Ector, M. Gasparini, C. Linde, F. B. Morgado, et al.
Guidelines for cardiac pacing and cardiac resynchronization therapy: The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Developed in Collaboration with the European Heart Rhythm Association
Europace, October 1, 2007; 9(10): 959 - 998.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
L. F. Tops, M. S. Suffoletto, G. B. Bleeker, E. Boersma, E. E. van der Wall, J. Gorcsan III, M. J. Schalij, and J. J. Bax
Speckle-Tracking Radial Strain Reveals Left Ventricular Dyssynchrony in Patients With Permanent Right Ventricular Pacing
J. Am. Coll. Cardiol., September 18, 2007; 50(12): 1180 - 1188.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
Authors/Task Force Members, P. E. Vardas, A. Auricchio, J.-J. Blanc, J.-C. Daubert, H. Drexler, H. Ector, M. Gasparini, C. Linde, F. B. Morgado, et al.
Guidelines for cardiac pacing and cardiac resynchronization therapy: The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Developed in Collaboration with the European Heart Rhythm Association
Eur. Heart J., September 2, 2007; 28(18): 2256 - 2295.
[Full Text] [PDF]

Home page
 EuropaceHome page
M. Schmidt, J. Bromsen, C. Herholz, K. Adler, F. Neff, C. Kopf, and M. Block
Evidence of left ventricular dyssynchrony resulting from right ventricular pacing in patients with severely depressed left ventricular ejection fraction
Europace, January 1, 2007; 9(1): 34 - 40.
[Abstract] [Full Text] [PDF]

Home page
 EuropaceHome page
J. Schumann, S. Kiencke, S. Osswald, and P. Rickenbacher
Unusual VDD-pacing
Europace, January 1, 2007; 9(1): 76 - 77.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
R. Lieberman, L. Padeletti, J. Schreuder, K. Jackson, A. Michelucci, A. Colella, W. Eastman, S. Valsecchi, and D. A. Hettrick
Ventricular Pacing Lead Location Alters Systemic Hemodynamics and Left Ventricular Function in Patients With and Without Reduced Ejection Fraction
J. Am. Coll. Cardiol., October 17, 2006; 48(8): 1634 - 1641.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
M. H. Schoenfeld
Alternative Site Pacing to Promote Cardiac Synchrony: Has Conventional Pacing Become Unconventional?
J. Am. Coll. Cardiol., May 16, 2006; 47(10): 1946 - 1948.
[Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
E. Occhetta, M. Bortnik, A. Magnani, G. Francalacci, C. Piccinino, L. Plebani, and P. Marino
Prevention of Ventricular Desynchronization by Permanent Para-Hisian Pacing After Atrioventricular Node Ablation in Chronic Atrial Fibrillation: A Crossover, Blinded, Randomized Study Versus Apical Right Ventricular Pacing
J. Am. Coll. Cardiol., May 16, 2006; 47(10): 1938 - 1945.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
M. Kindermann, B. Hennen, J. Jung, J. Geisel, M. Bohm, and G. Frohlig
Biventricular Versus Conventional Right Ventricular Stimulation for Patients With Standard Pacing Indication and Left Ventricular Dysfunction: The Homburg Biventricular Pacing Evaluation (HOBIPACE)
J. Am. Coll. Cardiol., May 16, 2006; 47(10): 1927 - 1937.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
M. O. Sweeney and F. W. Prinzen
A New Paradigm for Physiologic Ventricular Pacing
J. Am. Coll. Cardiol., January 17, 2006; 47(2): 282 - 288.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
W. Y. Vanagt, X. A. Verbeek, T. Delhaas, M. Gewillig, L. Mertens, P. Wouters, B. Meyns, W. J. Daenen, and F. W. Prinzen
Acute Hemodynamic Benefit of Left Ventricular Apex Pacing in Children
Ann. Thorac. Surg., March 1, 2005; 79(3): 932 - 936.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
A. Shvilkin, K. K.L. Ho, M. R. Rosen, and M. E. Josephson
T-Vector Direction Differentiates Postpacing From Ischemic T-Wave Inversion in Precordial Leads
Circulation, March 1, 2005; 111(8): 969 - 974.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.