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European Heart Journal Advance Access originally published online on April 2, 2009
European Heart Journal 2009 30(9):1033-1034; doi:10.1093/eurheartj/ehp130
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Selecting pacing sites in children with complete heart block: is it time to avoid the right ventricular free wall?

Luc Mertens* and Mark K. Friedberg

Division of Cardiology, The Labatt Family Heart Center, Hospital for Sick Children, Toronto, Canada

* Corresponding author. Tel: +1 416 813 7418, Fax: +1 416 813 5857, Email: Luc.Mertens@uz.kuleuven.ac.be; or luc.mertens@sickkids.ca

This editorial refers to ‘Predictors of left ventricular remodelling and failure in right ventricular pacing in the young’{dagger}, by R.A. Gebauer et al., on page 1097

The first 10% of the full text of this article appears below.

Patients with congenital or acquired complete heart block (CHB) require chronic right ventricular (RV) pacing when bradycardia causes symptoms or exercise intolerance. Indications for pacing are summarized in the American College of Cardiology/American Heart Association Task Force Report.1 Patient age and individual centre preference will determine whether an epicardial or endocardial pacing system is placed. Epicardial leads are usually placed on the RV free wall, which is readily exposed at surgery, while endocardial leads are usually implanted at the interventricular septum, or, more commonly, close to the RV apex. However, electrical stimulation of the heart from the RV apex and especially from the . . . [Full Text of this Article]


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Related articles in EHJ:

Predictors of left ventricular remodelling and failure in right ventricular pacing in the young
Roman A. Gebauer, Viktor Tomek, Aida Salameh, Jan Marek, Václav Chaloupecky, Roman Gebauer, Tomás Matejka, Pavel Vojtovic, and Jan Janousek
EHJ 2009 30: 1097-1104. [Abstract] [FREE Full Text]