The acute hemodynamic effects of right ventricular septal pacing in patients with congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy

M R Gold; S R Shorofsky; M D Metcalf; Z Feliciano; M L Fisher; S S Gottlieb

doi:10.1016/s0002-9149(96)00841-7

The acute hemodynamic effects of right ventricular septal pacing in patients with congestive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy

Am J Cardiol. 1997 Mar 1;79(5):679-81. doi: 10.1016/s0002-9149(96)00841-7.

Authors

M R Gold¹, S R Shorofsky, M D Metcalf, Z Feliciano, M L Fisher, S S Gottlieb

Affiliation

¹ Department of Medicine, University of Maryland, Baltimore 21201, USA.

PMID: 9068534
DOI: 10.1016/s0002-9149(96)00841-7

Abstract

To assess the hemodynamic effects of right ventricular septal pacing in patients with severe chronic heart failure, we studied 13 patients during intrinsic rhythm and with pacing in the VDD mode at atrioventricular delays of 100 to 200 ms. There was no improvement of any hemodynamic parameter measured with pacing, even in the subgroup of patients with prolonged PR intervals.

MeSH terms

Atrioventricular Node / physiopathology
Blood Pressure
Cardiac Output
Cardiac Pacing, Artificial / methods*
Cardiomyopathy, Dilated / complications*
Electrocardiography
Female
Heart Block / therapy
Heart Failure / etiology
Heart Failure / therapy*
Heart Rate
Heart Septum / physiopathology*
Hemodynamics
Humans
Male
Middle Aged
Myocardial Ischemia / complications*
Pacemaker, Artificial
Prospective Studies
Pulmonary Wedge Pressure
Sick Sinus Syndrome / therapy
Ventricular Function, Right*