COMPARATIVE EVALUATION OF PERMANENT CARDIAC PACING IN PACEMAKER-DEPENDENT PATIENTS WITH DIFFERENT PATTERNS OF RIGHT VENTRICLE EXCITATION

Purpose: comparative analysis of the effectiveness of permanent cardiac pacing and quality of life in the pacemaker-dependent chronical heart failure patients with different patterns of excitation of the right ventricle.Materials and methods: we examined 108 patients with hemodynamically significant...

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Main Authors: V. V. Korshunov, G. V. Chudinov, V. P. Terentiev
Format: Article
Language:English
Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 2015-06-01
Series:Медицинский вестник Юга России
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Online Access:https://www.medicalherald.ru/jour/article/view/244
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author V. V. Korshunov
G. V. Chudinov
V. P. Terentiev
author_facet V. V. Korshunov
G. V. Chudinov
V. P. Terentiev
author_sort V. V. Korshunov
collection DOAJ
description Purpose: comparative analysis of the effectiveness of permanent cardiac pacing and quality of life in the pacemaker-dependent chronical heart failure patients with different patterns of excitation of the right ventricle.Materials and methods: we examined 108 patients with hemodynamically significant atrioventricular conduction disturbances and chronical heart failure who underwent permanent pacemaker implantation. All patients were divided into 2 groups depending on performed right ventricle pacing site.Results: in assessing the electrocardiogram have been improvements in the dynamics of the QRS morphology in patients with alternative para-Hisian site pacing. It was established that the interventricular mechanical delay in patients of the apical group pacing was significantly higher compared with an alternative stimulation patients group. Revealed relatively low exercise tolerance, as well as the lowest values of the physical component of patients health in the apical pacing group.Summary: the permanent para-Hisian pacing in patients with chronical heart failure can be obtained normal morphology of the QRS complex with reduced ventricular dyssynchrony. Is the preferred alternative method to the apical pacing .
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spelling doaj-art-da5e9765f3f94d9da6a04962c7c9e6a02025-07-03T16:13:37ZengState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationМедицинский вестник Юга России2219-80752618-78762015-06-0102333710.21886/2219-8075-2015-2-33-37243COMPARATIVE EVALUATION OF PERMANENT CARDIAC PACING IN PACEMAKER-DEPENDENT PATIENTS WITH DIFFERENT PATTERNS OF RIGHT VENTRICLE EXCITATIONV. V. Korshunov0G. V. Chudinov1V. P. Terentiev2Rostov Regional Cardiovascular Surgery Center, Department of surgical treatment of complex cardiac arrhythmias and pacingRostov State Medical University, Department of Internal Medicine with the basics of physical therapy № 1Rostov Regional Cardiovascular Surgery Center, Department of surgical treatment of complex cardiac arrhythmias and pacingPurpose: comparative analysis of the effectiveness of permanent cardiac pacing and quality of life in the pacemaker-dependent chronical heart failure patients with different patterns of excitation of the right ventricle.Materials and methods: we examined 108 patients with hemodynamically significant atrioventricular conduction disturbances and chronical heart failure who underwent permanent pacemaker implantation. All patients were divided into 2 groups depending on performed right ventricle pacing site.Results: in assessing the electrocardiogram have been improvements in the dynamics of the QRS morphology in patients with alternative para-Hisian site pacing. It was established that the interventricular mechanical delay in patients of the apical group pacing was significantly higher compared with an alternative stimulation patients group. Revealed relatively low exercise tolerance, as well as the lowest values of the physical component of patients health in the apical pacing group.Summary: the permanent para-Hisian pacing in patients with chronical heart failure can be obtained normal morphology of the QRS complex with reduced ventricular dyssynchrony. Is the preferred alternative method to the apical pacing .https://www.medicalherald.ru/jour/article/view/244alternative para-hisian cardiac pacing, chronical heart failure
spellingShingle V. V. Korshunov
G. V. Chudinov
V. P. Terentiev
COMPARATIVE EVALUATION OF PERMANENT CARDIAC PACING IN PACEMAKER-DEPENDENT PATIENTS WITH DIFFERENT PATTERNS OF RIGHT VENTRICLE EXCITATION
Медицинский вестник Юга России
alternative para-hisian cardiac pacing, chronical heart failure
title COMPARATIVE EVALUATION OF PERMANENT CARDIAC PACING IN PACEMAKER-DEPENDENT PATIENTS WITH DIFFERENT PATTERNS OF RIGHT VENTRICLE EXCITATION
title_full COMPARATIVE EVALUATION OF PERMANENT CARDIAC PACING IN PACEMAKER-DEPENDENT PATIENTS WITH DIFFERENT PATTERNS OF RIGHT VENTRICLE EXCITATION
title_fullStr COMPARATIVE EVALUATION OF PERMANENT CARDIAC PACING IN PACEMAKER-DEPENDENT PATIENTS WITH DIFFERENT PATTERNS OF RIGHT VENTRICLE EXCITATION
title_full_unstemmed COMPARATIVE EVALUATION OF PERMANENT CARDIAC PACING IN PACEMAKER-DEPENDENT PATIENTS WITH DIFFERENT PATTERNS OF RIGHT VENTRICLE EXCITATION
title_short COMPARATIVE EVALUATION OF PERMANENT CARDIAC PACING IN PACEMAKER-DEPENDENT PATIENTS WITH DIFFERENT PATTERNS OF RIGHT VENTRICLE EXCITATION
title_sort comparative evaluation of permanent cardiac pacing in pacemaker dependent patients with different patterns of right ventricle excitation
topic alternative para-hisian cardiac pacing, chronical heart failure
url https://www.medicalherald.ru/jour/article/view/244
work_keys_str_mv AT vvkorshunov comparativeevaluationofpermanentcardiacpacinginpacemakerdependentpatientswithdifferentpatternsofrightventricleexcitation
AT gvchudinov comparativeevaluationofpermanentcardiacpacinginpacemakerdependentpatientswithdifferentpatternsofrightventricleexcitation
AT vpterentiev comparativeevaluationofpermanentcardiacpacinginpacemakerdependentpatientswithdifferentpatternsofrightventricleexcitation