2017
DOI: 10.1016/j.hrthm.2017.03.035
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Ventricular pacing in single ventricles—A bad combination

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Cited by 44 publications
(18 citation statements)
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“…Previously, small singlelesion studies in ACHD have supported a correlation between moderate-high burden ventricular pacing and cardiomyopathy in univentricular hearts and congenitally corrected TGA, but failed to show this in TOF. [18][19][20] In our study, the correlation between high-burden pacing and cardiomyopathy was consistent across TGA (atrial switch and congenitally corrected), TOF and complex biventricular repair subgroups. Conversely, most Fontan patients were paced for sick sinus syndrome and thus both highburden ventricular pacing and PACM were uncommon.…”
Section: Discussionsupporting
confidence: 70%
“…Previously, small singlelesion studies in ACHD have supported a correlation between moderate-high burden ventricular pacing and cardiomyopathy in univentricular hearts and congenitally corrected TGA, but failed to show this in TOF. [18][19][20] In our study, the correlation between high-burden pacing and cardiomyopathy was consistent across TGA (atrial switch and congenitally corrected), TOF and complex biventricular repair subgroups. Conversely, most Fontan patients were paced for sick sinus syndrome and thus both highburden ventricular pacing and PACM were uncommon.…”
Section: Discussionsupporting
confidence: 70%
“…Ventricular pacing should be minimised as much as possible because of the risk of causing ventricular dyssynchrony, pacemaker-induced cardiomyopathy, cardiac failure, and AV valve regurgitation. Fontan patients with ventricular pacing have a five-fold risk of transplantation or death compared with matched non-paced controls [216].…”
Section: Pacingmentioning
confidence: 99%
“…4,13 Previous studies have investigated patients with SV who have undergone pacemaker implantation; however, the detailed outcomes and contributing factors were not completely investigated. [8][9][10]14,15 We hypothesized that lead position and proportion of pacing are factors related to poor outcome.…”
Section: Introductionmentioning
confidence: 99%