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Latency during left ventricular pacing from the lateral cardiac veins: A cause of ineffectual biventricular pacing

  • Bengt Herweg
  • , Arzu Ilercil
  • , Chris Madramootoo
  • , Sendhil Krishnan
  • , Debbie Rinde-Hoffman
  • , Mark Weston
  • , Anne B. Curtis
  • , S. Serge Barold
  • University of South Florida

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

We report three patients with cardiomyopathy and pronounced stimulus to QRS latency during left ventricular (LV) pacing from an epicardial cardiac vein. Delayed LV activation during simultaneous biventricular pacing produced an electrocardiographic pattern dominated by right ventricular stimulation. Hemodynamic parameters improved immediately after advancing LV stimulation (in one patient) or pacing the LV only (in two patients) coupled with dramatic improvement of heart failure symptoms.

Original languageEnglish
Pages (from-to)574-581
Number of pages8
JournalPACE - Pacing and Clinical Electrophysiology
Volume29
Issue number6
DOIs
StatePublished - Jun 2006

Keywords

  • Biventricular pacing
  • Cardiac resynchronization therapy
  • Congestive heart failure
  • Latency
  • Left ventricular pacing

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