Assesment of cardiac and peripheral haemodynamic changes during right ventricular pacing
Abstract
The aim of the study is to evaluate the changes in hemodynamic parameters in patients on different patterns of ventricular activation: electrostimulation of the right ventricle or during the own cardiac rhythm. Hemodynamic parameters were studied by echocardiography and high-precision oscillometry on the brachial artery in sinus node weakness syndrome patients without signs of heart failure. The time of isovolytic contraction of the left ventricle decreases (LV dp / dt) at electrostimulation of the ventricles. The decrease of peripheral arteries compliance was also recorded on the background of stimulation in patients with interventricular dyssynchrony (an increase of interventricular mechanical delay more than 40 ms according to echocardiography).
About the Authors
G. A. Gromyko
The main military clinical hospital named after academician N.N. Burdenko; First Moscow State Medical University named after I.M. Sechenov
Russian Federation
Russian Federation
Yu. O. Govorova
The Vishnevsky Central Military Clinical Hospital N 3
Russian Federation
Russian Federation
L. A. Brovko
The Vishnevsky Central Military Clinical Hospital N 3
Russian Federation
Russian Federation
E. V. Shutova
The Vishnevsky Central Military Clinical Hospital N 3
Russian Federation
Russian Federation
T. T. Azbarova
The Vishnevsky Central Military Clinical Hospital N 3
Russian Federation
Russian Federation
D. V. Drozdov
Institute of Physics and Technology
Russian Federation
Russian Federation
References
1. Hindricks G., Camm J., Merkely B. et al. The EHRA White Book 2017 The Current Status of Cardiac Electrophysiology in ESC Member Countries. Tenth Edition. European Heart Rhythm Assosiation. 2017
2. Chow, G.V., et al., Efficacy of cardiac resynchronization in acutely infarcted canine hearts with electromechanical dyssynchrony. Heart Rhythm, 2014. 11(10): p. 1819-26.
3. van Stipdonk A., Wijers S., Meine M., Vernooy K. ECG Patterns In Cardiac Resynchronization Therapy. J Atr Fibrillation. 2015 Apr 30; 7(6): р. 33-37
4. Steinberg J.S., Fischer A., Wang P. et al. The clinical implications of cumulative right ventricular pacing in the multicenter automatic defibrillator trial II. J Cardiovasc Electrophysiol 2005; 16: 359-365
5. Riahi S., Nielsen J.C., Hjortshøj S. et al. Heart failure in patients with sick sinus syndrome treated with single lead atrial or dual-chamber pacing: no association with pacing mode or right ventricular pacing site. Europace 2012; 14
6. Galderisi M., Cattaneo F, Mondillo S. Doppler echocardiography and myocardial dyssynchrony: a practical update of old and new ultrasound technologies. Cardiovasc Ultrasound. 2007 Sep 6; 5: 28.
7. Nielsen J.C., Bottcher M., Nielsen T.T. et al. Regional myocardial blood flow in patients with sick sinus syndrome randomized to longterm single chamber atrial or dual chamber pacing - effect of pacing mode and rate. J Am Coll Cardiol. 2000; 35: 1453-61.
8. Sarkar N.C., Tilkar M., Jain S. et al. Evaluation of Long Term Effect of RV Apical Pacing on Global LV Function by Echocardiography. J Clin Diagn Res. 2016 Mar; 10(3): OC 03-6.
9. Taborsky M., Fedorco M., Skala T. et al. Acute effects of right ventricular pacing on cardiac haemodynamics and transvalvular impedance. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014 Dec; 158(4): 569-76
10. Tops L.F., Schalij M.J., Bax J.J. The effects of right ventricular apical pacing on ventricular function and dyssynchrony implications for therapy. J Am Coll Cardiol. 2009 Aug 25; 54(9): 764-76.
11. Delgado V., Tops L.F., Trines S.A. et al. Acute effects of right ventricular apical pacing on left ventricular synchrony and mechanics. Circ Arrhythm Electrophysiol. 2009 Apr,2(2): 135-45.
12. Pastore G., Noventa F., Piovesana P., et al. Left ventricular dyssynchrony resulting from right ventricular apical pacing: relevance of baseline assessment. Pacing Clin Electrophysiol. 2008 Nov; 31(11): 1456-62
13. Sweeney M.O., Prinzen F.W. A new paradigm for physiologic ventricular pacing. J Am Coll Cardiol 2006; 47: 282-8.
Review
For citations:
Gromyko G.A., Govorova Yu.O., Brovko L.A., Shutova E.V., Azbarova T.T., Drozdov D.V. Assesment of cardiac and peripheral haemodynamic changes during right ventricular pacing. Medical alphabet. 2018;2(23):18-22. (In Russ.)
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