1. Complications and prognosis of patients undergoing apical or septal right ventricular pacing
- Author
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Nick B, Spath, Kelvin, Wang, Sowmya, Venkatasumbramanian, Omar, Fersia, David E, Newby, Chris Ce, Lang, Neil R, Grubb, and Marc R, Dweck
- Subjects
septal pacing ,apical pacing ,right ventricular pacing ,Heart Failure and Cardiomyopathies - Abstract
Objectives Optimal right ventricular lead placement remains controversial. Large studies investigating the safety and long-term prognosis of apical and septal right ventricular lead placement have been lacking. Methods Consecutive patients undergoing pacemaker insertion for high-degree atrioventricular block at Edinburgh Heart Centre were investigated. Periprocedural 30-day complications were defined (infection/bleeding/pneumothorax/tamponade/lead displacement). Long-term clinical outcomes were obtained from the General Register of Scotland and electronic medical records. The primary endpoint was a composite of all-cause mortality, new heart failure, hospitalisation for a major cardiovascular event, as per the CArdiac REsynchronization in Heart Failure trial. Secondary endpoints were all-cause mortality, new heart failure and their composite. Results 820 patients were included, 204 (25%) paced from the septum and 616 (75%) from the apex. All baseline variables were similar with the exception of age (septal: 73.2±1.1 vs apical: 76.9±0.5 years, p
- Published
- 2019