Journal Article

Initial United Kingdom experience with the use of permanent, biventricular pacemakers

S. Walker, T. Levy, S. Rex, S. Brant and V. Paul

in EP Europace

Published on behalf of European Heart Rhythm Association of the European Society of Cardiology (ESC)

Volume 2, issue 3, pages 233-239
Published in print July 2000 | ISSN: 1099-5129
Published online July 2000 | e-ISSN: 1532-2092 | DOI: http://dx.doi.org/10.1053/eupc.2000.0106
Initial United Kingdom experience with the use of permanent, biventricular pacemakers

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Aims

To describe the institution of a biventricular pacing programme with particular reference to the implantation procedure and new technological considerations.

Methods and Results

Analysis of outcomes of a consecutive series of 54 patients undergoing attempted biventricular pacemaker implantation between February 1998 and April 1999. Successful implantation was achieved in 49 of the 54 patients (91%). Five patients required lead repositioning after initial successful implantation. Left ventricular lead pacing thresholds were found to be satisfactory and stable in the long term, with pacing thresholds of 1·3 V, 1·9 V and 1·6 V at implantation, 1 and 3 months, respectively. Left-sided lead function was not dependent on lead position within the tributaries of the coronary sinus. The implantation procedure was found to be safe, although one patient died during long-term follow-up.

Conclusion

With appropriate previous experience in complex and coronary sinus pacing and with access to up-to-date pacemaker and lead technology, a biventricular pacemaker implantation service can be instituted with good medium-term results.

Keywords: Biventricular pacemaker; heart failure

Journal Article.  0 words. 

Subjects: Cardiovascular Medicine

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