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May 19 2023 This Week in Cardiology

This Week in Cardiology

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The Effects of RV Pacing on Cardiomyopathy

The authors concluded that in patients who have pacemakers and use them a lot to pace any RV after Tavi outcomes are worse. All cause death was also 2x higher in the high pacing group, but that did not reach statistical significance because of wide conference intervals. An RV paced beat is clearly better than no beat, but pacing the RV muscle creates a right to left contractile disynchrony. Electrophysiologist teams should strongly consider conduction system pacing in these patients.

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