MODEL OF RISK ASSESSMENT OF QRS COMPLEX WIDENING IN PEDIATRIC PATIENTS WITH IMPLANTED CARDIAC PACEMAKERS
Abstract
To study changes in the QRS complex duration and determine risk factors of QRS complex widening, 257pediatric patients with implanted pacemakers aged 9.53±5.65 years by the time of primary pacemaker implantation (3 days through 17years 9 months) were examined including 154 boys (59.9%) and 103 girls (40.1%) .
About the Authors
E. S. Vasichkina
ФГБУ «Северо-Западный федеральный медицинский исследовательский центр им. В.А.Алмазова» МЗ РФ
Russian Federation
Russian Federation
D. F. Egorov
ФГБУ «Северо-Западный федеральный медицинский исследовательский центр им. В.А.Алмазова» МЗ РФ
Russian Federation
Russian Federation
O. L. Gordeev
ФГБУ «Северо-Западный федеральный медицинский исследовательский центр им. В.А.Алмазова» МЗ РФ
Russian Federation
Russian Federation
T. K. Kruchina
ФГБУ «Северо-Западный федеральный медицинский исследовательский центр им. В.А.Алмазова» МЗ РФ
Russian Federation
Russian Federation
D. S. Lebedev
ФГБУ «Северо-Западный федеральный медицинский исследовательский центр им. В.А.Алмазова» МЗ РФ
Russian Federation
Russian Federation
References
1. Бокерия, О.Л. Электрическая стимуляция сердца у детей / О.Л. Бокерия. - М., 2002. - 106 с.
2. Floris, E.A. Pacing therapy in infants and children with congenital and acquired complete atrioventricular block: optimal pacing strategies, management, and follow-up / E.A. Floris // Modern Pacemakers - Present and Future / ed. M. Kumar Das. - InTech, - 2011. - Ch. 6. - P. 89-116.
3. Berul, C.I. Indications and techniques of pediatric cardiac pacing / C.I. Berul, F. Cecchin // Expert Rev Cardiovasc Ther. - 2003. - Vol. 1, N 2. - P. 165-176.
4. Natural history of postoperative heart block in congenital heart disease: implications for pacing intervention / G.J. Gross, C.C. Chiu, R.M. Hamilton et al. // Heart Rhythm. - 2006. - Vol. 3, N 5. - P. 601-604.
5. Wu, M. Myocarditis and complete atrioventricular block: rare, rapid clinical course and favorable prognosis? / M. Wu // Pediatr. Neonatol. - 2008. - Vol. 49, N 6. - P. 210-212.
6. Brignole, M. Syncope and idiopathic (paroxysmal) AV block / M. Brignole, J.C. Deharo // Card. Electrophysiol. Clin. - 2013. - Vol. 5, N 4. - P. 481-493.
7. Клинические рекомендации по проведению электрофизиологических исследований, катетерной абляции и применению имплантируемых антиаритмических устройств / Всероссийское научное общество специалистов по клинической электрофизиологии, аритмологии и кардиостимуляции ; разраб. А.Ш.Ревишвили. - 3-е изд., доп. и перераб. - М. : МАКС-Пресс, 2013. - 595 с.
8. Efficacy and safety of ventricular rate responsive pacing in children with complete atrioventricular block / P. Ragonese, P. Guccione, F. Drago et al. // Pacing Clin. Electrophysiol. - 1994. - Vol. 17, N 4, Pt. 1. - P. 603-610.
9. Horenstein, M.S. Pacemaker syndrome in the young: do children need dual chamber as the initial pacing mode? / M.S. Horenstein, P.P. Karpawich // Pacing Clin. Electrophysiol. - 2004. - Vol. 27, N 5. - P. 600-605.
10. Cheng, A. Pathophysiological mechanisms underlying ventricular dyssynchrony / A. Cheng, R.H. Helm, T.P. Abraham // Europace. - 2009. - Vol. 11, Suppl. 5. - P. v10-v14.
11. Detrimental ventricular remodelling in patients with congenital complete heart block and chronic right ventricular apical pacing / J.B. Thambo, P. Bordachar, S. Garrigue et al. // Circulation. - 2004. - Vol. 110, N 25. - P. 3766-3772.
12. Right ventricular pacing can induce ventricular dyssynchrony in patients with atrial fibrillation after atrioventricular node ablation / L.F. Tops, M.J. Schalij, E.R. Holman et al. // J. Am. Coll. Cardiol. - 2006. - Vol. 48, N 8. - P. 1642-1648.
13. Dilated cardiomyopathy following right ventricular pacing for AV block in young patients: resolution after upgrading to biventricular pacing systems / J.P. Moak, K. Hasbani, C. Ramwell et al. // J. Cardiovasc. Electrophysiol. - 2006. - Vol. 17, N 10. - P. 1068-1071.
14. Prolonged QRS duration (QRS >/=170 ms) and left axis deviation in the presence of left bundle branch block: A marker of poor left ventricular systolic function? / M. Kumar, K. Cheriparambil, A. Bedi et al. // Am. Heart J. - 2001. - Vol. 142, N 5. - Р. 756-759.
15. A prolonged QRS duration on surface electrocardiogram is a specific indicator of left ventricular dysfunction / R.L. Murkohsky, G. Dangas, J.A. Diamond et al. // J. Am. Coll. Cardiol. - 1998. - Vol. 32, N 2. - P. 476-482.
16. Brenyo, A. Prognostic significance of QRS duration and morphology / A. Brenyo, W. Zarçba // Cardiol. J. -2011. - Vol. 18, N 1. - P. 8-17.
17. Relation of QRS duration on the surface 12-lead electrocardiogram with mortality in patients with known or suspected coronary artery disease / A. Elhendy, S.C. Hammill, D.W. Mahoney, P.A. Pellikka // Am. J. Cardiol. - 2005. - Vol. 96, N 8. - P. 1082-1088.
18. Chronic ventricular pacing in children: toward prevention of pacing-induced heart disease / I.E. van Geldorp, W.Y. Vanagt, F.W. Prinzen, T. Delhaas // Heart Fail. Rev. - 2011. - Vol. 16, N 3. - P. 305-314.
19. Karpawich, P.P. Altered cardiac histology following apical right ventricular pacing in patients with congenital atrioventricular block / P.P. Karpawich, R. Rabah, J.E. Haas // Pacing Clin. Electrophysiol. - 1999. - Vol. 22, N 9. - P. 1372-1377.
20. Predictors of left ventricular remodelling and failure in right ventricular pacing in the young / R.A. Gebauer, V. Tomek, A. Salameh et al. // Eur. Heart J. - 2009. - Vol. 30, N 9. - P. 1097-1104.
21. Ventricular function and Long-term pacing in children with congenital complete atrioventricular block / J.J. Kim, R.A. Friedman, B.W. Eidem et al. // J. Cardiovasc. Electrophysiol. - 2007. - Vol. 18, N 4. - P. 373-377.
22. Asymmetric thickness of the left ventricular wall resulting from asynchronous electrical activation. A study in patients with left bundle branch block in dogs with ventricular pacing / F.W. Prinzen, E.M. Cheriex, T. Delhaas et al. // Am. Heart J. - 1995. - Vol. 130, N 5. - P. 1045-1053.
23. Kass, D.A. An epidemic of dyssynchrony. But what does it mean? / D.A. Kass // J. Am. Coll. Cardiol. - 2008. - Vol. 51, N 1. - P. 12-17.
24. Prinzen, F.W. Relation between the pacing induced sequence of activation and left ventricular pump function in animals / F.W. Prinzen, M. Peschar // Pacing Clin. Electrophysiol. - 2002. - Vol. 25, N 4, Pt. 1. - P. 484-498.
25. Dyssynchronous ventricular activation in asymptomatic Wolf-Parkinson-White syndrome: a risk factor for development of dilated cardiomyopathy / F.E. Udink ten Cate, N. Wiesner, U. Trieschmann et al. // Indian Pacing Electrophysiol. J. - 2010. - Vol. 10, N 6. - P. 248-256.
26. Electrophysiological characteristics of idiopathic ventricular tachycardia in children / J. Fukuhara, N. Sumitomo, T. Nakamura et al. // Circ. J. - 2011. - Vol. 75, No. 3. - P. 672-676.
Review
For citations:
Vasichkina E.S., Egorov D.F., Gordeev O.L., Kruchina T.K., Lebedev D.S. MODEL OF RISK ASSESSMENT OF QRS COMPLEX WIDENING IN PEDIATRIC PATIENTS WITH IMPLANTED CARDIAC PACEMAKERS. Journal of Arrhythmology. 2016;(84):22-27. (In Russ.)
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