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2020, Number 3

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Rev Cubana Cardiol Cir Cardiovasc 2020; 26 (3)

Right ventricular septal pacing as an alternative to apical pacing. How to locate the electrode?

Cruz CM, Cort ZA, Gutiérrez LA, Mengana BA, Ramos CMY

Language: Spanish
References: 39
Page: 1-7
PDF size: 529.59 Kb.


ABSTRACT

The detrimental effects of apical stimulation of the right ventricle have been known for decades and are related to the percentage of ventricular stimulation. The right ventricular septum is the alternative site to the most studied apical stimulation. Despite its theoretical superiority, the medical evidence has been heterogeneous and has not demonstrated its clear benefit. Conventionally, the septal position of the electrode is confirmed by the fluoroscopic projection of the probe and by the electrocardiographic characteristics, but several studies have shown its limitations. Although the combined use of multiple fluoroscopic views allows us to ensure a septal location with high precision, this approach requires large prospective studies that employ contracted cardiac tomography as a validation method.


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