4.7 Article

Predictors of left ventricular remodelling and failure in right ventricular pacing in the young

Journal

EUROPEAN HEART JOURNAL
Volume 30, Issue 9, Pages 1097-1104

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/eurheartj/ehp060

Keywords

Permanent cardiac pacing; Heart failure; Cardiac resynchronization therapy; Congenital heart disease; Children

Funding

  1. Ministry of Health, Czech Republic [NR/9472-3]

Ask authors/readers for more resources

To identify risk factors for left ventricular (LV) dysfunction in right ventricular (RV) pacing in the young. Left ventricular function was evaluated in 82 paediatric patients with either non-surgical (n = 41) or surgical (n= 41) complete atrioventricular block who have been 100% RV paced for a mean period of 7.4 years. Left ventricular shortening fraction (SF) decreased from a median (range) of 39 (24-62)% prior to implantation to 32 (8-49)% at last follow-up (P < 0.05). Prevalence of a combination of LV dilatation (LV end-diastolic diameter >+2z-values) and dysfunction (SF < 0.26) was found to increase from 1.3% prior to pacemaker implantation to 13.4% (11/82 patients) at last follow-up (P = 0.01). Ten of these 11 patients had progressive LV remodelling and 8 of 11 were symptomatic. The only significant risk factor for the development of LV dilatation and dysfunction was the presence of epicardial RV free wall pacing (OR = 14.3, P < 0.001). Other pre-implantation demographic, diagnostic, and haemodynamic factors including block aetiology, pacing variables, and pacing duration did not show independent significance. Right ventricular pacing leads to pathologic LV remodelling in a significant proportion of paediatric patients. The major independent risk factor is the presence of epicardial RV free wall pacing, which should be avoided whenever possible.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Cardiac & Cardiovascular Systems

Left ventricular apical pacing in children: feasibility and long-term effect on ventricular function

Jan Kovanda, Miroslav Lozek, Shin Ono, Peter Kubus, Viktor Tomek, Jan Janousek

EUROPACE (2020)

Article Cardiac & Cardiovascular Systems

Is left bundle branch block pattern on the ECG caused by variable ventricular activation sequence?

Lucie Riedlbauchova, Theodor Adla, Vojtech Suchanek, Miroslav Lozek, Jan Tomis, Jiri Hozman, Viktor Tomek, Josef Veselka, Jan Janousek

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY (2020)

Article Cardiac & Cardiovascular Systems

Spectrum of postmortem autopsy findings in native and surgically corrected hearts with congenital malformations: a 10-year single-center experience

Ondrej Fabian, Roman Gebauer, Viktor Tomek, Ludmila Hornofova, Mariia Havova, Ondrej Materna, Jan Janousek

Summary: This study reviewed congenital heart defects assessed in the center from 2010 to 2020, finding that most cases required surgical correction or resulted in induced abortion or stillbirth. Autopsy provided crucial information about the morphology of congenital heart defects, placing high demands on pathologists.

CARDIOVASCULAR PATHOLOGY (2021)

Article Medicine, Research & Experimental

Biallelic loss-of-function variants in PLD1 cause congenital right-sided cardiac valve defects and neonatal cardiomyopathy

Najim Lahrouchi, Alex V. Postma, Christian M. Salazar, Daniel M. De Laughter, Fleur Tjong, Lenka Piherova, Forrest Z. Bowling, Dominic Zimmerman, Elisabeth M. Lodder, Asaf Ta-Shma, Zeev Perles, Leander Beekman, Aho Ilgun, Quinn Gunst, Mariam Hababa, Doris Skoric-Milosavljevic, Viktor Stranecky, Viktor Tomek, Peter de Knijff, Rick de Leeuw, Jamille Y. Robinson, Sabrina C. Burn, Hiba Mustafa, Matthew Ambrose, Timothy Moss, Jennifer Jacober, Dmitriy M. Niyazov, Barry Wolf, Katherine H. Kim, Sara Cherny, Andreas Rousounides, Aphrodite Aristidou-Kallika, George Tanteles, Bruel Ange-Line, Anne-Sophie Denomme-Pichon, Christine Francannet, Damara Ortiz, Monique C. Haak, Arend D. J. Ten Harkel, Gwendolyn T. R. Manten, Annemiek C. Dutman, Katelijne Bouman, Monia Magliozzi, Francesca Clementina Radio, Gijs W. E. Santen, Johanna C. Herkert, H. Alex Brown, Orly Elpeleg, Maurice J. B. van den Hoff, Barbara Mulder, Michael V. Airola, Stanislav Kmoch, Joey V. Barnett, Sally-Ann Clur, Michael A. Frohman, Connie R. Bezzina

Summary: Through whole-exome sequencing of 2718 patients with congenital heart disease, the study found that PLD1 gene variants are associated with cardiac valve defects and isolated neonatal cardiomyopathy. Some variants were overrepresented in critical protein regions, leading to reduced enzymatic activity and decreased endothelial-mesenchymal transition.

JOURNAL OF CLINICAL INVESTIGATION (2021)

Article Cardiac & Cardiovascular Systems

Long-Term Outcome of Patients With Congenital Heart Disease Undergoing Cardiac Resynchronization Therapy

Peter Kubus, Jana Rubackova Popelova, Jan Kovanda, Kamil Sedlacek, Jan Janousek

Summary: This study evaluated the long-term impact of cardiac resynchronization therapy (CRT) in patients with congenital heart disease, finding that approximately 50% of patients had a good treatment response during long-term follow-up with acceptable survival rates. However, the probability of experiencing complications during continued CRT therapy was relatively high.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2021)

Editorial Material Cardiac & Cardiovascular Systems

Major left ventricular thrombi in an adolescent with COVID-19-associated inflammatory syndrome

Ondrej Materna, Karel Koubsky, Radek Padr, Jan Janousek

EUROPEAN HEART JOURNAL (2021)

Article Cardiac & Cardiovascular Systems

Long-Term Survival and Freedom From Coronary Artery Reintervention After Arterial Switch Operation for Transposition of the Great Arteries: A Population-Based Nationwide Study

Karel Koubsky, Roman Gebauer, Tomas Tlaskal, Tomas Matejka, Rudolf Poruban, Denisa Jicinska, Bohumil Hucin, Jan Janousek, Vaclav Chaloupecky

Summary: The long-term survival of children undergoing ASO is excellent with low rates of coronary artery reinterventions. Patients with intramural coronary artery are at higher risk of coronary artery reintervention and mortality.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2021)

Review Genetics & Heredity

The aorto-left ventricular tunnel from a fetal perspective: Original case series and literature review

Amber E. L. van Nisselrooij, Anita J. Moon-Grady, Annette Wacker-Gussmann, Viktor Tomek, Ivan Malcic, Agnieszka Grzyb, Anna Pavlova, Kalliopi Kazamia, Varsha Thakur, Elena Sinkovskaya, A. Derk Jan Ten Harkel, Monique C. Haak

Summary: This study retrospectively reviewed 20 cases of congenital heart defect ALVT and observed their prenatal and postnatal conditions. The results showed that the prognosis of these infants was good in the absence of fetal hydrops.

PRENATAL DIAGNOSIS (2022)

Editorial Material Cardiac & Cardiovascular Systems

Closure of coronary artery fistula using Piccolo occluder

Ondrej Materna, Jan Kovanda, Viktor Tomek

REVISTA ESPANOLA DE CARDIOLOGIA (2022)

Article Pediatrics

Clinical Question Influence on Radiation Dose of Cardiac CT Scan in Children

Theodor Adla, Martin Koci, Vojtech Suchanek, Zuzana Salagovicova, Michal Polovincak, Lukas Miksik, Jan Janousek, Miloslav Rocek

Summary: This study assessed the impact of different clinical questions on radiation doses in pediatric cardiac CT scans. The results showed that cardiac function assessment and coronary artery assessment resulted in significantly higher radiation doses.

CHILDREN-BASEL (2022)

Article Pediatrics

Establishing a nationwide pediatric heart transplantation program with mid-term results comparable to worldwide data - The Czech experience

Karel Koubsky, Roman Gebauer, Rudolf Poruban, Pavel Vojtovic, Ondrej Materna, Vojtech Melenovsky, Lenka Hoskova, Ivan Netuka, Jan Burkert, Jan Janousek

Summary: This study evaluated the mid-term characteristics and outcomes of a comprehensive pediatric nationwide heart transplantation program in the Czech Republic, and compared them with international data. The results showed that the program's mid-term results were comparable to worldwide data, confirming the possibility of establishing a successful nationwide pediatric heart transplantation program in a relatively small population country with well-developed pediatric cardiovascular care and other transplantation programs.

PEDIATRIC TRANSPLANTATION (2023)

Article Cardiac & Cardiovascular Systems

Survival and Freedom From Reinterventions in Patients With Repaired Tetralogy of Fallot: Up to 42-Year Follow-Up of 917 Patients

Roman Gebauer, Vaclav Chaloupecky, Bohumil Hucin, Tomas Tlaskal, Arnost Komarek, Jan Janousek

Summary: In a nationwide cohort, tetralogy of Fallot repair showed a favorable long-term outcome with a survival rate of over 90% at 30 years after repair. Each reintervention increased the risk of mortality, and the type of initial repair predicted the need for specific surgical or catheter reinterventions.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2023)

Article Cardiac & Cardiovascular Systems

Impact of liver fibrosis and nodules formation on hemodynamics in young adults after total cavopulmonary connection. A magnetic resonance study

Vaclav Chaloupecky, Denisa Jicinska, Viktor Tomek, Ondrej Materna, Roman Gebauer, Rudolf Poruban, Petra Antonova, Theodor Adla, Matej Stefanek, Vojtech Illinger, Karel Kotaska, Jan Janousek

Summary: This study analyzed the relationship between hepatic fibrosis markers, liver morphology, and hemodynamics assessed by MRI after total cavopulmonary connection. The results showed that the formation of liver nodules caused hepatic arterialization, leading to increased inferior vena cava flow and ventricular volume overload, which may further compromise single ventricle functional reserve in adult patients after TCPC.

FRONTIERS IN CARDIOVASCULAR MEDICINE (2022)

Article Medicine, General & Internal

Predictors of exercise capacity in patients with atrial correction of transposition of great arteries

P. Antonova, V Chaloupecky, T. Adla, V Tomek, K. Slaby, J. Zeman, V Rohn

BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY (2020)

No Data Available