FUNCTIONAL PARAMETERS OF BLOOD CIRCULATION IN PATIENTS DURING FIRST SIX MONTHS OF RIGHT VENTRICULAR PACING IN QTc INTERVAL DURATION CLASSES
Journal: The Journal of V.N. Karazin Kharkiv National University, series "Medicine" (Vol.28, No. 28)Publication Date: 2014-12-30
Authors : Maltseva M. S.; Volkov D. E.; Lopin D. O.; Yabluchansky M. I.;
Page : 17-22
Keywords : cardiac pacing; right ventricular pacing; electrocardiography; QTc interval; echocardiography;
Abstract
37 patients (22 men and 15 women) with implanted pacemakers (PM) in DDD/DDDR and VVI/VVIR modes were investigated. Systolic blood pressure (SBP) and diastolic blood pressure, QTc interval duration, QRS complex duration, heart rate, end-systolic and end-diastolic volume, left ventricular ejection fraction , the thickness of the posterior wall of the left ventricle and interventricular septum, left ventricular myocardial mass, anterior-posterior size of the left atrium, right atrium and right ventricular were evaluated before, during acute postoperative period (3-5 days) and six months after pacemaker implantation. Patients were divided into classes 1 (normal QTc (320-440 ms)) ? 17 (46 %) of the patients) and class 2 (long QTc (> 440 ms)) ? 20
(54 %) patients) of QTc interval duration. For data processing were used standard statistical procedures by Microsoft Excel. PM implantation, increasing to a greater extent initially normal and less ? an elongated QTc interval duration, to 6 months period leads them to the same level of values in both QTc interval duration classes. Increase of SBP and QRS complex duration in the class 2 demonstrates the need for more intensive monitoring and drug management in these patients.
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