Exploring the temporal patterns of right ventricular pacing burden

Chattopadhyay, Rahul K., Thakur, Mrinal, Wickramasinghe, Rucchira, Hayes, Julie, Chousou, Panagiota A., Vassiliou, Vassilios S. ORCID: https://orcid.org/0000-0002-4005-7752 and Pugh, Peter J. (2023) Exploring the temporal patterns of right ventricular pacing burden. Journal of Innovations in Cardiac Rhythm Management, 14 (10). pp. 5605-5609. ISSN 2156-3977

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Abstract

Elevated right ventricular pacing (RVP) burdens are associated with the development of pacing-induced cardiomyopathy. This association is alluded to in the recent European and American pacing guidelines where anticipated pacing burden forms part of the indications for conduction system pacing. Understanding the temporal pattern of RVP burden is important with respect to anticipating future burden and ensuring that the most appropriate pacing modality is selected for patients. To the best of our knowledge, this is the first study to assess how RVP burden changes over time in different pacing indications. A retrospective, single-center, observational study was performed. RVP burdens from pacing checks were extracted and plotted against 6-month time “bins.” Graphical plots of RVP burdens for different pacing indications were produced. There was no significant change in the RVP burden across time, independent of the initial pacing indication. Individuals with sinus node disease (SND) and a P–R interval of >250 ms had increased RVP burden. Other than patients with SND and a P–R interval of <250 ms, individuals had pacing burdens higher than those proposed in both the European and American pacing guidelines for conduction system pacing.

Item Type: Article
Additional Information: Funding Information: Dr. Pugh reports grants from Medtronic outside the submitted work. Prof. Vassiliou reports grants from Wellcome, British Heart Foundation, NIHR, Medtronic, and B. Braun and personal fees from Novartis and AstraZeneca, outside the submitted work. The remaining authors report no conflicts of interest for the published content. No funding information was provided. Manuscript received February 7, 2023. Final version accepted May 10, 2023. Address correspondence to: Dr. Peter J. Pugh, Box 263, Ward K2, Addenbrooke’s Hospital, Hills Road, Cambridge, CB2 0QQ, UK. Email: peter.pugh@nhs.net. Publisher Copyright: © 2023 Innovations in Cardiac Rhythm Management.
Uncontrolled Keywords: conduction system pacing,pacing-induced cardiomyopathy,right ventricular pacing burden,cardiology and cardiovascular medicine,physiology (medical) ,/dk/atira/pure/subjectarea/asjc/2700/2705
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Science > Research Groups > Norwich Epidemiology Centre
Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre
Faculty of Medicine and Health Sciences > Research Groups > Cardiovascular and Metabolic Health
Faculty of Medicine and Health Sciences > Research Centres > Metabolic Health
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Depositing User: LivePure Connector
Date Deposited: 17 Jan 2024 01:36
Last Modified: 18 Jan 2024 01:35
URI: https://ueaeprints.uea.ac.uk/id/eprint/94186
DOI: 10.19102/icrm.2023.14104

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