Right ventricular pacing induced cardiomyopathy and heart failure is common in patients receiving a high degree of ventricular pacing. It may also be preventable or treatable through the use of conduction system pacing (CSP) or biventricular pacing for cardiac resynchronization therapy (CRT) in patients with left ventricular (LV) dysfunction.

In this interview, Gaurav A. Upadhyay, MD, FACC, FHRS and Joseph Marine MD, MBA, FACC, with Carlos E. Vargas, DO, discuss RV Pacing Induced Cardiomyopathy: Mechanisms, Predictors and Management.

Related References:

1. Right Ventricular Pacing and Cardiac Resynchronization Devices. Card Electrophysiol Clin 2018;10(1):31-42.
2. Incidence and Clinical Outcomes of Pacing Induced Cardiomyopathy in Patients With Normal Left Ventricular Systolic Function and Atrioventricular Block. Am J Cardiol 2020;128:174-180.
3. The Prevalence of Pacing-Induced Cardiomyopathy (PICM) in Patients With Long Term Right Ventricular Pacing - Is it a Matter Of Definition? Heart Lung Circ 2019;28(7):1027-1033.

Clinical Topics: Arrhythmias and Clinical EP, Heart Failure and Cardiomyopathies, Implantable Devices, SCD/Ventricular Arrhythmias, Atrial Fibrillation/Supraventricular Arrhythmias, Acute Heart Failure

Keywords: ACCELLite, Cardiac Resynchronization Therapy, Ventricular Dysfunction, Left, Heart Ventricles, Heart Failure, Cardiomyopathies, Electrophysiology, Cardiac Pacing, Artificial

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