Reducing right ventricular pacing burden: algorithms, benefits, and risks

Lior Jankelson; Pierre Bordachar; Mark Strik; Sylvain Ploux; Larry Chinitz

doi:10.1093/europace/euy263

Reducing right ventricular pacing burden: algorithms, benefits, and risks

Europace. 2019 Apr 1;21(4):539-547. doi: 10.1093/europace/euy263.

Authors

Lior Jankelson¹, Pierre Bordachar², Mark Strik², Sylvain Ploux², Larry Chinitz¹

Affiliations

¹ Lenon H. Charney Devision of Cardiology, Cardiac Electrophysiology, NYU Langone Health, New York University School of Medicine, NY, USA.
² Hôpital Cardiologique du Haut-Lévêque, CHU Bordeaux, Université Bordeaux, IHU LIRYC, Bordeaux, France.

PMID: 30428056
DOI: 10.1093/europace/euy263

Abstract

Algorithms designed to reduce the burden of right ventricular pacing are widely available in modern implantable pacing devices. To ensure safe and optimal utilization, understanding the properties of these algorithms as well as their possible unfavourable effects is essential. In this review, we discuss in detail the technical and clinical aspects of rhythm management algorithms and update on their significant recent modifications. In addition, we highlight possible adverse phenomena that may be induced by these different pacing algorithms intended to minimize pacing.

Keywords: Algorithm; Minimizing ventricular pacing; Pacing-induced cardiomyopathy; Right ventricular pacing burden.

Publication types

Review

MeSH terms

Algorithms*
Arrhythmias, Cardiac / therapy*
Atrioventricular Block / therapy
Cardiac Pacing, Artificial / methods*
Cardiomyopathies / prevention & control
Heart Ventricles*
Humans
Ventricular Dysfunction, Left / prevention & control