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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Aug 26, 2015; 7(8): 490-498
Published online Aug 26, 2015. doi: 10.4330/wjc.v7.i8.490
Published online Aug 26, 2015. doi: 10.4330/wjc.v7.i8.490
Right ventricular septal pacing: Safety and efficacy in a long term follow up
Eraldo Occhetta, Rosaria Nappo, Emanuela Facchini, Andrea Magnani, Miriam Bortnik, Gabriella Francalacci, Gabriele Dell’Era, Laura Plebani, Paolo Marino, Cardiology Department, AOU Maggiore della Carità, 28100 Novara, Italy
Gianluca Quirino, Cardiology Division, P.O. SS. Annunziata, 87100 Cosenza, Italy
Lara Baduena, Cardiology Division, Ospedale SS. Trinità, 28021 Borgomanero, Italy
Chiara Cavallino, Cardiology Division, Ospedale S. Andrea, 13100 Vercelli, Italy
Paolo Pistelli, Cardiology Division, Ospedale Civile, 10015 Ivrea, Italy
Author contributions: All the authors contributed to this paper.
Institutional review board statement: The study was reviewed and approved for publication by our Institutional Reviewer.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors have no conflict of interest related to the manuscript.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at eraldo.occhetta@maggioreosp.novara.it.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Eraldo Occhetta, Cardiology Department, AOU Maggiore della Carità, Corso Mazzini 18, 28100 Novara, Italy. eraldo.occhetta@maggioreosp.novara.it
Telephone: +39-321-3733413 Fax: +39-321-3733142
Received: January 25, 2015
Peer-review started: January 25, 2015
First decision: March 6, 2015
Revised: June 5, 2015
Accepted: June 18, 2015
Article in press: June 19, 2015
Published online: August 26, 2015
Processing time: 214 Days and 6.1 Hours
Peer-review started: January 25, 2015
First decision: March 6, 2015
Revised: June 5, 2015
Accepted: June 18, 2015
Article in press: June 19, 2015
Published online: August 26, 2015
Processing time: 214 Days and 6.1 Hours
Core Tip
Core tip: We evaluated the safety and efficacy of the permanent high interventricular septal pacing in a long term follow up, as alternative to right ventricular apical pacing. We retrospective evaluated 244 patients with a narrow QRS implanted with a single/dual chamber pacemaker with ventricular screw-in lead placed at the right ventricular high septal (parahisian) site. Contemporary we checked the clinical evolution of two control groups of patients: without ventricular stimulation and with conventional right ventricular apical stimulation. In a long term follow up we observed stability of pacing parameters and ejection fraction, and improvement in New York Heart Association class, quality of life and exercise tolerance.