ISSN: 0300-8932 Factor de impacto 2023 7,2
Vol. 7. Núm. G.
Páginas 20G-39G (Octubre 2007)

Estimulación cardiaca con marcapasos
Efectos de la estimulación cardiaca convencional. Estimulación en sitios alternativos

Effect of Conventional Cardiac Pacing. Alternative Pacing Sites

Francisco Ruiz-Mateasa¿Juan Leal del OjobRafael Barba-PichardocMarta Pombo-JiménezaJosé R. Carmona-Salinasd

Opciones

Desde la primera publicación del abordaje transvenoso para la implantación de marcapasos en 1959, el ápex del ventrículo derecho ha sido el sitio tradicional de estimulación por ser de fácil acceso y proporcionar estabilidad a largo plazo y umbrales crónicos de estimulación óptimos. La estimulación en orejuela derecha y ápex de ventrículo derecho ha permitido establecer una frecuencia cardiaca estable y lograr la sincronía auriculoventricular, dos de los objetivos principales de la estimulación eléctrica extrínseca; sin embargo, con ello no se ha conseguido lograr un patrón de activación y sincronía fisiológicos.

Múltiples estudios publicados en los últimos años han puesto de manifiesto los efectos perjudiciales de la estimulación convencional, tanto funcionales como estructurales, con las consiguientes morbilidad y mortalidad. De ahí el interés surgido en la búsqueda de sitios alternatives de estimulación que permitan obtener despolarización y contracción miocárdica fisiológicas.

En este capítulo se plantea la posibilidad de estimulación auricular en sitios alternativos, con el objetivo fundamental de prevenir las arritmias auriculares. Se revisan, asimismo de forma pormenorizada, las evidencias demostradas hasta el momento acerca de los efectos hemodinámicos y funcionales de la estimulación en tracto de salida de ventrículo derecho, así como su influencia en la duración del QRS y su correlación con la función ventricular. Finalmente, se desarrolla la estimulación permanente del haz de His, con las ventajas que supone la activación ventricular vía sistema específico de conducción.

Palabras clave

Bloqueo cardiaco
Bloqueo de rama
Conducción
Estimulación eléctrica
Marcapasos
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Bibliografía
[1.]
S. Furman, J.B. Schwedel.
An intracardiac pacemaker for Stokes-Adams seizures.
N Engl J Med, (1959), 261 pp. 943-948
[2.]
M.O. Sweeney, A.S. Hellkamp, K.A. Ellenbogen, A.J. Greenspon, R.A. Freedman, K.L. Lee, et al.
Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction.
Circulation, (2003), 107 pp. 2932-2937
[3.]
The DAVID trial Investigators.
Dual chamber pacing or ventricular backup pacing in patients with implantable defibrillator. The dual chamber and VVI implantable defibrillator (DAVID) trial.
JAMA, (2002), 288 pp. 3115-3123
[4.]
J.S. Steinberg, A. Fischer, P. Wang, C. Schuger, J. Daubert, S. McNitt, et al.
The clinical implications of cumulative right ventricular pacing in the multicenter automatic defibrillator trial II.
J Cardiovasc Electrophysiol, (2005), 16 pp. 359-365
[5.]
J.J. Blanc, Y. Etienne, M. Gilard, J. Mansourati, S. Munier, J. Boschat, et al.
Evaluation of different ventricular pacing sites in patients with severe heart failure: results of an acute hemodynamic study.
Circulation, (1997), 96 pp. 3273-3277
[6.]
S. Baldasseroni, C. Opasich, M. Gorini, D. Lucci, N. Marchionni, M. Marini, et al.
Left bundle-branch block is associated with increased 1-year sudden and total mortality rate in 5517 outpatients with congestive heart failure: a report from the Italian network on congestive heart failure.
Am Heart J, (2002), 143 pp. 398-405
[7.]
J.F. Schneider, H.E. Thomas Jr, B.E. Kreger, P.M. McNamara, W.B. Kannel.
Newly acquired left bundle-branch block: the Framingham study.
Ann Intern Med, (1979), 90 pp. 303-310
[8.]
C.J. Wiggers.
The muscular reactions of the mammalian ventricles to artificial surface stimuli.
Am J Physiol, (1925), 73C pp. 275-282
[9.]
M.V. Tantengco, R.L. Thomas, P.P. Karpawich.
Left ventricular dysfunction after long-term right ventricular apical pacing in the young.
J Am Coll Cardiol, (2001), 37 pp. 2093-2100
[10.]
J.B. Thambo, P. Bordachar, S. Garrigue, S. Lafitte, P. Sanders, S. Reuter, et al.
Detrimental ventricular remodeling in patients with congenital complete heart block and chronic right ventricular apical pacing.
Circulation, (2004), 110 pp. 3766-3772
[11.]
J.C. Nielsen, L. Kristensen, H.R. Andersen, P.T. Mortensen, O.L. Pedersen, A.K. Pedersen.
A randomized comparison of atrial and dual-chamber pacing in 177 consecutive patients with sick sinus syndrome: echocardiographic and clinical outcome.
J Am Coll Cardiol, (2003), 42 pp. 614-623
[12.]
J.P. Bourke, T. Hawkins, P. Keavey, M. Tynan, S. Jamieson, R. Behulova, et al.
Evolution of ventricular function during permanent pacing from either right ventricular apex or outflow tract following AV-junctional ablation for atrial fibrillation.
Europace, (2002), 4 pp. 219-228
[13.]
S.D. Thackray, K.K. Witte, N.P. Nikitin, A.L. Clark, G.C. Kaye, J.G. Cleland.
The prevalence of heart failure and asymptomatic left ventricular systolic dysfunction in a typical regional pacemaker population.
Eur Heart J, (2003), 24 pp. 1143-1152
[14.]
J.H. O’Keefe Jr, H. Abuissa, P.G. Jones, R.C. Thompson, T.M. Bateman, A.I. McGhie, et al.
Effect of chronic right ventricular apical pacing on left ventricular function.
Am J Cardiol, (2005), 95 pp. 771-773
[15.]
F. Victor, P. Mabo, H. Mansour, D. Pavin, G. Kabalu, C. de Place, et al.
A randomized comparison of permanent septal versus apical right ventricular pacing: short-term results.
J Cardiovasc Electrophysiol, (2006), 17 pp. 238-242
[16.]
F.W. Prinzen, M. Peschar.
Relation between the pacing induced sequence of activation and left ventricular pump function in animals.
Pacing Clin Electrophysiol, (2002), 25 pp. 484-498
[17.]
D. Baller, H.G. Wolpers, J. Zipfel, H.J. Bretschneider, G. Hellige.
Comparison of the effects of right atrial, right ventricular apex and atrioventricular sequential pacing on myocardial oxygen consumption and cardiac efficiency: a laboratory investigation.
Pacing Clin Electrophysiol, (1988), 11 pp. 394-403
[18.]
P.P. Karpawich, R. Rabah, J.E. Haas.
Altered cardiac histology following apical right ventricular pacing in patients with congenital atrioventricular block.
Pacing Clin Electrophysiol, (1999), 22 pp. 1372-1377
[19.]
D.D. Spragg, C. Leclercq, M. Loghmani, O.P. Faris, R.S. Tunin, D. DiSilvestre, et al.
Regional alterations in protein expression in the dyssynchronous failing heart.
Circulation, (2003), 108 pp. 929-932
[20.]
M.F. Van Oosterhout, F.W. Prinzen, T. Arts, J.J. Schreuder, W.Y. Vanagt, J.P. Cleutjens, et al.
Asynchronous electrical activation induces asymmetrical hypertrophy of the left ventricular wall.
Circulation, (1998), 98 pp. 588-595
[21.]
H.F. Tse, C. Yu, K.K. Wong, V. Tsang, Y.L. Leung, W.Y. Ho, et al.
Functional abnormalities in patients with permanent right ventricular pacing: the effect of sites of electrical stimulation.
J Am Coll Cardiol, (2002), 40 pp. 1451-1458
[22.]
C.C. De Cock, M.C. Giudici, J.W. Twisk.
Comparison of the haemodynamic effects of right ventricular outflow-tract pacing with right ventricular apex pacing: a quantitative review.
Europace, (2003), 5 pp. 275-278
[23.]
M.C. Giudici, G.A. Thornburg, D.L. Buck, E.P. Coyne, M.C. Walton, D.L. Paul, et al.
Comparison of right ventricular outflow tract and apical lead permanent pacing on cardiac output.
Am J Cardiol, (1997), 79 pp. 209-212
[24.]
F. Victor, C. Leclercq, P. Mabo, D. Pavin, A. Deviller, C. De Place, et al.
Optimal right ventricular pacing site in chronically implanted patients: a prospective randomized crossover comparison of apical and outflow tract pacing.
J Am Coll Cardiol, (1999), 33 pp. 311-316
[25.]
F. Mera, D.B. DeLurgio, R.E. Patterson, J.D. Merlino, M.E. Wade, A.R. Leon.
A comparison of ventricular function during high right ventricular septal and apical pacing after his-bundle ablation for refractory atrial fibrillation.
Pacing Clin Electrophysiol, (1999), 22 pp. 1234-1239
[26.]
A. Nunez, M.T. Alberca, F.G. Cosio, A. Pastor, M. Montero, M. Ramos, et al.
Severe mitral regurgitation with right ventricular pacing, successfully treated with left ventricular pacing.
Pacing Clin Electrophysiol, (2002), 25 pp. 226-230
[27.]
A. Erol-Yilmaz, R. Tukkie, T.A. Schrama, H.J. Romkes, A.A. Wilde.
Reversed remodelling of dilated left sided cardiomyopathy after upgrading from VVIR to VVIR biventricular pacing.
Europace, (2002), 4 pp. 445-449
[28.]
C.P. Lau, C.M. Yu, E. Chau, K. Fan, H.F. Tse, K. Lee, et al.
Reversal of left ventricular remodeling by synchronous biventricular pacing in heart failure.
Pacing Clin Electrophysiol, (2000), 23 pp. 1722-1725
[29.]
J.J. Blanc, V. Bertault-Valls, M. Fatemi, M. Gilard, P.Y. Pennec, Y. Etienne.
Midterm benefits of left univentricular pacing in patients with congestive heart failure.
Circulation, (2004), 109 pp. 1741-1744
[30.]
B.S. Stambler, K. Ellenbogen, X. Zhang, T.R. Porter, F. Xie, R. Malik, et al.
Right ventricular outflow versus apical pacing in pacemaker patients with congestive heart failure and atrial fibrillation.
J Cardiovasc Electrophysiol, (2003), 14 pp. 1180-1186
[31.]
P. Moriña, R. Barba, J. Venegas, A. Alvarez, V. Moreno, J.M. Fernández, et al.
Estimulación permanente del haz de His tras ablación mediante radiofrecuencia del nodo auriculoventricular y en pacientes con trastorno de la conducción suprahisiano.
Rev Esp Cardiol, (2001), 54 pp. 1385-1393
[32.]
P. Deshmukh, D.A. Casavant, M. Romanyshyn, K. Anderson.
Permanent, direct His-bundle pacing: a novel approach to cardiac pacing in patients with normal His-Purkinje activation.
Circulation, (2000), 101 pp. 869-877
[33.]
S.C. Vlay.
Alternate site biventricular pacing: Bi-V — in the RV is there a role?.
Pacing Clin Electrophysiol, (2004), 27 pp. 567-569
[34.]
M. Brignole, M. Gammage, E. Puggioni, P. Alboni, A. Raviele, R. Sutton, et al.
Comparative assessment of right, left, and biventricular pacing in patients with permanent atrial fibrillation.
Eur Heart J, (2005), 26 pp. 712-722
[35.]
A.S. Manolis.
The deleterious consequences of right ventricular apical pacing: time to seek alternate site pacing.
Pacing Clin Electrophysiol, (2006), 29 pp. 298-315
[36.]
M.O. Sweeney, F.W. Prinzen.
A new paradigm for physiologic ventricular pacing.
J Am Coll Cardiol, (2006), 47 pp. 282-288
[37.]
M.O. Sweeney, A.S. Hellkamp.
Heart failure during cardiac pacing.
Circulation, (2006), 113 pp. 2082-2088
[38.]
C.P. Lau.
Pacing for atrial fibrillation.
Heart, (2003), 89 pp. 106-112
[39.]
C.W. Israel, S.H. Hohnloser.
Pacing to prevent atrial fibrillation.
J Cardiovasc Electrophysiol, (2003), 14 pp. S20-S26
[40.]
R. Lieberman, D. Grenz, H.G. Mond, M.D. Gammage.
Selective site pacing: defining and reaching the selected site.
Pacing Clin Electrophysiol, (2004), 27 pp. 883-886
[41.]
A. Yang, B. Luderitz, T. Lewalter.
Atrial fibrillation: profit from cardiac pacing?.
Z Kardiol, (2005), 94 pp. 141-151
[42.]
E.P. Gerstenfeld, M.D. Lesh.
Is there a role for biatrial pacing in the prevention of atrial arrhythmias?.
J Cardiovasc Electrophysiol, (2000), 11 pp. 1092-1093
[43.]
J.F. Leclercq, A. De Sisti, P. Fiorello, F. Halimi, S. Manot, P. Attuel.
Is dual site better than single site atrial pacing in the prevention of atrial fibrillation?.
Pacing Clin Electrophysiol, (2000), 23 pp. 2101-2107
[44.]
M.D. Gammage, A.M. Marsh.
Randomized trials for selective site pacing: do we know where we are going?.
Pacing Clin Electrophysiol, (2004), 27 pp. 878-882
[45.]
H. Hsia.
Pacing prevention of atrial fibrillation: is it ready for the prime time?.
Heart Rhythm, (2006), 3 pp. 1172-1174
[46.]
J.J. Blanc.
Pacing to prevent atrial fibrillation: utility or futility?.
J Cardiovasc Electrophysiol, (2005), 16 pp. 724-726
[47.]
W.C. Yu, C.F. Tsai, M.H. Hsieh, C.C. Chen, C.T. Tai, Y.A. Ding, et al.
Prevention of the initiation of atrial fibrillation: mechanism and efficacy of different atrial pacing modes.
Pacing Clin Electrophysiol, (2000), 23 pp. 373-379
[48.]
A. De Sisti, P. Attuel, S. Manot, P. Fiorello, F. Halimi, J.F. Leclercq.
Electrophysiological characteristics of the atrium in sinus node dysfunction with and without postpacing atrial fibrillation.
Pacing Clin Electrophysiol, (2000), 23 pp. 303-308
[49.]
F.X. Roithinger, M. Abou-Harb, O. Pachinger, F. Hintringer.
The effect of the atrial pacing site on the total atrial activation time.
Pacing Clin Electrophysiol, (2001), 24 pp. 316-322
[50.]
A.R. Mitchell, N. Sulke.
How do atrial pacing algorithms prevent atrial arrhythmias?.
Europace, (2004), 6 pp. 351-362
[51.]
H. Purerfellner, J.H. Ruiter, J.W. Widdershoven, I.C. Van Gelder, L. Urban, C.J. Kirchhof, et al.
Reduction of atrial tachyarrhythmia episodes during the overdrive pacing period using the postmode switch overdrive pacing (PMOP) algorithm.
Heart Rhythm, (2006), 3 pp. 1164-1171
[52.]
P. Terranova, P. Valli, P. Terranova, S. Dell’Orto, E.M. Greco.
Pacemaker prevention therapy in drug-refractory paroxysmal atrial fibrillation: reliability of diagnostics and effectiveness of prevention pacing therapy in vitatron selection device.
Indian Pacing Electrophysiol J, (2006), 6 pp. 63-74
[53.]
R.P. Ricci, G. Boriani, A. Grammatico, M. Santini.
Optimization of pacing algorithms to prevent and treat supraventricular tachyarrhythmias.
Pacing Clin Electrophysiol, (2006), 29 pp. S61-S72
[54.]
C. Daubert, D. Gras, V. Berder, C. Leclercq, P. Mabo.
Permanent atrial resynchronization by synchronous bi-atrial pacing in the preventive treatment of atrial flutter associated with high degree interatrial block.
Arch Mal Coeur Vaiss, (1994), 87 pp. 1535-1546
[55.]
R. Lemery, G. Guiraudon, J.P. Veinot.
Anatomic description of Bachmann's bundle and its relation to the atrial septum [resumen].
Am J Cardiol, (2003), 91 pp. 1482-1485
[56.]
A. Khaja, G. Flaker.
Bachmann's bundle: does it play a role in atrial fibrillation?.
Pacing Clin Electrophysiol, (2005), 28 pp. 855-863
[57.]
S.J. Bailin.
Is Bachmann's Bundle the only right site for singlesite pacing to prevent atrial fibrillation? Results of a multicenter randomized trial.
Card Electrophysiol Rev, (2003), 7 pp. 325-328
[58.]
S.J. Bailin, C. Machado, E. Nsah, S. Worley, M. Kremers, J.R. Bailey, et al.
Bachmann's bundle versus right atrial appendage capture.
Pacing Clin Electrophysiol, (2003), 26 pp. 264-267
[59.]
S.J. Bailin.
Atrial lead implantation in the Bachmann bundle.
Heart Rhythm, (2005), 2 pp. 784-786
[60.]
S. Gozolits, G. Fischer, T. Berger, F. Hanser, M. Abou-Harb, B. Tilg, et al.
Global P wave duration on the 65-lead ECG: single-site and dual-site pacing in the structurally normal human atrium.
J Cardiovasc Electrophysiol, (2002), 13 pp. 1240-1245
[61.]
L. Padeletti, P. Pieragnoli, C. Ciapetti, A. Colella, N. Musilli, M.C. Porciani, et al.
Randomized crossover comparison of right atrial appendage pacing versus interatrial septum pacing for prevention of paroxysmal atrial fibrillation in patients with sinus bradycardia.
Am Heart J, (2001), 142 pp. 1047-1055
[62.]
L. Padeletti, M.C. Porciani, A. Michelucci, A. Colella, A. Costoli, C. Ciapetti, et al.
Prevention of short term reversible chronic atrial fibrillation by permanent pacing at the triangle of Koch.
J Interv Card Electrophysiol, (2000), 4 pp. 575-583
[63.]
L. Padeletti, M.C. Porciani, A. Michelucci, A. Colella, P. Ticci, S. Vena, et al.
Interatrial septum pacing: a new approach to prevent recurrent atrial fibrillation.
J Interv Card Electrophysiol, (1999), 3 pp. 35-43
[64.]
L. Padeletti, H. Purerfellner, S.W. Adler, T.J. Waller, M. Harvey, L.K. Horvitz.
Combined efficacy of atrial septal lead placement and atrial pacing algorithms for prevention of paroxysmal atrial tachyarrhythmia.
J Cardiovasc Electrophysiol, (2003), 14 pp. 1189-1195
[65.]
W.G. De Voogt, R. Van Mechelen, A.A. Van den Bos, M. Scheffer, N.M. Van Hemel, P.A. Levine.
Electrical characteristics of low atrial septum pacing compared with right atrial appendage pacing.
[66.]
W.G. De Voogt, R. Van Mechelen, B.A. Van Den, M. Scheffer, N.M. Van Hemel, J. Koistinen.
A technique of lead insertion for low atrial septal pacing.
Pacing Clin Electrophysiol, (2005), 28 pp. 639-646
[67.]
M. Duytschaever, V. Firsovaite, R. Colpaert, M. Allessie, R. Tavernier.
Limited benefit of septal pre-excitation in pace prevention of atrial fibrillation.
J Cardiovasc Electrophysiol, (2005), 16 pp. 269-277
[68.]
S. Saksena, A. Prakash, M. Hill, R.B. Krol, A.N. Munsif, P.P. Mathew, et al.
Prevention of recurrent atrial fibrillation with chronic dual-site right atrial pacing.
J Am Coll Cardiol, (1996), 28 pp. 687-694
[69.]
S. Saksena, A. Prakash, P. Ziegler, J.D. Hummel, P. Friedman, V.J. Plumb, et al.
Improved suppression of recurrent atrial fibrillation with dual-site right atrial pacing and antiarrhythmic drug therapy.
J Am Coll Cardiol, (2002), 40 pp. 1140-1150
[70.]
C.P. Lau, H.F. Tse, C.M. Yu, W.S. Teo, R. Kam, K.S. Ng, et al.
Dualsite atrial pacing for atrial fibrillation in patients without bradycardia.
Am J Cardiol, (2001), 88 pp. 371-375
[71.]
I. Mirza, S. James, P. Holt.
Biatrial pacing for paroxysmal atrial fibrillation: a randomized prospective study into the suppression of paroxysmal atrial fibrillation using biatrial pacing.
J Am Coll Cardiol, (2002), 40 pp. 457-463
[72.]
T. Levy, S. Walker, J. Rochelle, V. Paul.
Evaluation of biatrial pacing, right atrial pacing, and no pacing in patients with drug refractory atrial fibrillation.
Am J Cardiol, (1999), 84 pp. 426-429
[73.]
A. Prakash, S. Saksena, P.D. Ziegler, T. Lokhandwala, D.A. Hettrick, P. Delfaut, et al.
Dual site right atrial pacing can improve the impact of standard dual chamber pacing on atrial and ventricular mechanical function in patients with symptomatic atrial fibrillation: further observations from the dual site atrial pacing for prevention of atrial fibrillation trial.
J Interv Card Electrophysiol, (2005), 12 pp. 177-218
[74.]
P.C. Ho, H.F. Tse, C.P. Lau, D.A. Hettrick, R. Mehra.
Effects of different atrioventricular intervals during dual-site right atrial pacing on left atrial mechanical function.
Pacing Clin Electrophysiol, (2000), 23 pp. 1748-1751
[75.]
J.C. Daubert, D. Pavin, G. Jauvert, P. Mabo.
Intra- and interatrial conduction delay: implications for cardiac pacing.
Pacing Clin Electrophysiol, (2004), 27 pp. 507-525
[76.]
W.H. Maisel, A.E. Epstein.
The role of cardiac pacing: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery.
Chest, (2005), 128 pp. S36-S38
[77.]
L.B. Mitchell.
Prophylactic therapy to prevent atrial arrhythmia after cardiac surgery.
Curr Opin Cardiol, (2007), 22 pp. 18-24
[78.]
R.A. Archbold, R.J. Schilling.
Atrial pacing for the prevention of atrial fibrillation after coronary artery bypass graft surgery: a review of the literature.
Heart, (2004), 90 pp. 129-133
[79.]
V. Fuster, L.E. Ryden, D.S. Cannom, H.J. Crijns, A.B. Curtis, K.A. Ellenbogen, et al.
ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society.
Circulation, (2006), 114 pp. e257-e354
[80.]
B.P. Knight, B.J. Gersh, M.D. Carlson, P.A. Friedman, R.L. McNamara, S.A. Strickberger, et al.
Role of permanent pacing to prevent atrial fibrillation: science advisory from the American Heart Association Council on Clinical Cardiology (Subcommittee on Electrocardiography and Arrhythmias) and the Quality of Care and Outcomes Research Interdisciplinary Working Group, in collaboration with the Heart Rhythm Society.
Circulation, (2005), 111 pp. 240-243
[81.]
M.C. Giudici, P.P. Karpawich.
Alternative site pacing: it's time to define terms.
Pacing Clin Electrophysiol, (1999), 22 pp. 551-553
[82.]
E.S. Barin, S.M. Jones, D.E. Ward, A.J. Camm, A.W. Nathan.
The right ventricular outflow tract as an alternative permanent pacing site: long-term follow-up.
Pacing Clin Electrophysiol, (1991), 14 pp. 3-6
[83.]
H.G. Mond, M.D. Gammage.
Selective site pacing: the future of cardiac pacing?.
Pacing Clin Electrophysiol, (2004), 27 pp. 835-836
[84.]
S.S. Barold, J.W. Linhart, F.J. Hildner, P. Samet.
Hemodynamic comparison of endocardial pacing of outflow and inflow tracts of the right ventricle.
Am J Cardiol, (1969), 23 pp. 697-701
[85.]
D. Burkhoff, R.Y. Oikawa, K. Sagawa.
Influence of pacing site on canine left ventricular contraction.
Am J Physiol, (1986), 251 pp. H428-H435
[86.]
B. Schwaab, G. Frohlig, C. Alexander, M. Kindermann, N. Hellwig, H. Schwerdt, et al.
Influence of right ventricular stimulation site on left ventricular function in atrial synchronous ventricular pacing.
J Am Coll Cardiol, (1999), 33 pp. 317-323
[87.]
H.H. Shukla, A.S. Hellkamp, E.A. James, G.C. Flaker, K.L. Lee, M.O. Sweeney, et al.
Heart failure hospitalization is more common in pacemaker patients with sinus node dysfunction and a prolonged paced QRS duration.
Heart Rhythm, (2005), 2 pp. 245-251
[88.]
F. Miyoshi, Y. Kobayashi, H. Itou, T. Onuki, T. Matsuyama, N. Watanabe, et al.
Prolonged paced QRS duration as a predictor for congestive heart failure in patients with right ventricular apical pacing.
Pacing Clin Electrophysiol, (2005), 28 pp. 1182-1188
[89.]
J. Leal del Ojo, R. Vazquez, A. Felices, F. Ruiz, A. Loza, M. Reina.
Pacing at apex and right ventricular outflow tract. Duration of the QRS complex.
Europace, (2001), pp. 249-252
[90.]
W.T. Abraham, W.G. Fisher, A.L. Smith, D.B. DeLurgio, A.R. Leon, E. Loh, et al.
Cardiac resynchronization in chronic heart failure.
N Engl J Med, (2002), 346 pp. 1845-1853
[91.]
F. Zanon, E. Baracca, S. Aggio, G. Pastore, G. Boaretto, P. Cardano, et al.
A feasible approach for direct his-bundle pacing using a new steerable catheter to facilitate precise lead placement.
J Cardiovasc Electrophysiol, (2006), 17 pp. 29-33
[92.]
A.J. Trigano, V. Taramasco, F. Paganelli, R. Gerard, S. Levy.
Incidence of perforation and other mechanical complications during dual active fixation.
Pacing Clin Electrophysiol, (1996), 19 pp. 1828-1831
[93.]
V. Parsonnet, D. Harari.
The effect of nonisodiametric design on the ease of extracting chronically implanted pacemaker leads.
Pacing Clin Electrophysiol, (1997), 20 pp. 2419-2421
[94.]
J.C. Res, M.J. Bokern, D.H. Vos.
Characteristics of bifocal pacing: right ventricular apex versus outflow tract. An interim analysis.
Pacing Clin Electrophysiol, (2005), 28 pp. S36-S38
[95.]
M.C. Giudici, S.S. Barold, D.L. Paul, P.E. Schrumpf, K.J. Van Why, D.W. Orias.
Right ventricular outflow tract placement of defibrillation leads: five year experience.
Pacing Clin Electrophysiol, (2004), 27 pp. 443-446
[96.]
Y. Yamauchi, K. Aonuma, H. Hachiya, M. Isobe.
Permanent Hisbundle pacing after atrioventricular node ablation in a patient with chronic atrial fibrillation and mitral regurgitation.
Circ J, (2005), 69 pp. 510-514
[97.]
K.S. Ng, D. Foo, J. Lim.
His-bundle pacing in a patient with persistent left superior vena cava.
Pacing Clin Electrophysiol, (2005), 28 pp. 588-590
[98.]
P.M. Deshmukh, M. Romanyshyn.
Direct His-bundle pacing: present and future.
Pacing Clin Electrophysiol, (2004), 27 pp. 862-870
[99.]
P. Moriña-Vazquez, R. Barba-Pichardo, J. Venegas-Gamero, M. Herrera-Carranza.
Cardiac resynchronization through selective His bundle pacing in a patient with the so-called InfraHis atrioventricular block.
[100.]
N. El Sherif, Y.L. Amay, C. Schonfield, B.J. Scherlag, K. Rosen, R. Lazzara, et al.
Normalization of bundle branch block patterns by distal His bundle pacing. Clinical and experimental evidence of longitudinal dissociation in the pathologic His bundle.
Circulation, (1978), 57 pp. 473-483
[101.]
T.N. James, L. Sherf.
Fine structure of the His bundle.
Circulation, (1971), 44 pp. 9-28
[102.]
O.S. Narula.
Longitudinal dissociation in the His bundle. Bundle branch block due to asynchronous conduction within the His bundle in man.
Circulation, (1977), 56 pp. 996-1006
[103.]
R.S. Freudenberger, A.C. Wilson, J. Lawrence-Nelson, J.M. Hare, J.B. Kostis.
Permanent pacing is a risk factor for the development of heart failure.
Am J Cardiol, (2005), 95 pp. 671-674
[104.]
O.S. Narula.
The manifestation of bundle branch block due to lesions within the his bundle. A dilemma in electrocardiographic interpretations.
Chest, (1978), 73 pp. 312-314
[105.]
R. Oter Rodríguez, J. De Juan Montiel, T. Roldán Pascual, A. Bardají Ruiz, E. Molinero de Miguel.
Guías de práctica clínica de la Sociedad Española de Cardiología en marcapasos.
Rev Esp Cardiol, (2000), 53 pp. 947-966
[106.]
G. Gregoratos, J. Abrams, A.E. Epstein, R.A. Freedman, D.L. Hayes, M.A. Hlatky, et al.
ACC/AHA/NASPE 2002 guideline update for implantation of cardiac pacemakers and antiarrhythmia devices: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemaker Guidelines).
Circulation, (2002), 106 pp. 2145-2161
[107.]
K. Swedberg, J. Cleland, H. Dargie, H. Drexler, F. Follath, M. Komajda, et al.
Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005): The Task Force for the Diagnosis and Treatment of Chronic Heart Failure of the European Society of Cardiology.
Eur Heart J, (2005), 26 pp. 1115-1140
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