ISSN 1016-5169 | E-ISSN 1308-4488
pdf
Recovery of Right Ventricular Apical Pacing-Induced Cardiomyopathy with Left Bundle Branch Pacing [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(5): 357-361 | DOI: 10.5543/tkda.2023.90575

Recovery of Right Ventricular Apical Pacing-Induced Cardiomyopathy with Left Bundle Branch Pacing

Mert Doğan, Uğur Canpolat
Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Türkiye

Right ventricular pacing (RVP) is conventionally preferred in the treatment of patients with atrioventricular block. However, long-term RVP may lead to pacing-induced cardiomyopathy (PICM), characterized by new-onset or worsening ventricular functions due to dyssynchronous ventricular electrical activation, abnormal ventricular remodeling, and increased energy expenditure. Historically, biventricular pacing (BVP) and guideline-directed medical therapy were the only treatment option for PICM. Recently, conduction system pacing, including left bundle branch area pacing (LBBaP), has emerged as a physiological alternative to BVP, showing better results in electro-mechanical ventricular synchronization and hemodynamic parameters compared to BVP. We present a case involving a patient from whom the PICM was successfully recovered shortly after LBBaP.

Keywords: Left bundle branch pacing, left ventricular ejection fraction, pacing-induced cardiomyopathy











How to cite this article
Mert Doğan, Uğur Canpolat. Recovery of Right Ventricular Apical Pacing-Induced Cardiomyopathy with Left Bundle Branch Pacing. Turk Kardiyol Dern Ars. 2024; 52(5): 357-361

Corresponding Author: Uğur Canpolat, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

Quick Search



Copyright © 2024 Archives of the Turkish Society of Cardiology



Kare Publishing is a subsidiary of Kare Media.