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Latency during left ventricular pacing from the lateral cardiac veins: a cause of ineffectual biventricular pacing
Authors:Herweg Bengt  Ilercil Arzu  Madramootoo Chris  Krishnan Sendhil  Rinde-Hoffman Debbie  Weston Mark  Curtis Anne B  Barold S Serge
Institution:Arrhythmia Service and Division of Cardiology, Tampa General Hospital and University of South Florida, Tampa, Florida 33606, USA. bherweg@hsc.usf.edu
Abstract:We report three patients with cardiomyopathy and pronounced stimulus to QRS latency during left ventricular (LV) pacing from an epicardial cardiac vein. Delayed LV activation during simultaneous biventricular pacing produced an electrocardiographic pattern dominated by right ventricular stimulation. Hemodynamic parameters improved immediately after advancing LV stimulation (in one patient) or pacing the LV only (in two patients) coupled with dramatic improvement of heart failure symptoms.
Keywords:latency                        cardiac resynchronization therapy                        left ventricular pacing                        biventricular pacing                        congestive heart failure
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