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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:

Authors : ; ; ; ;

Page : 17-22

Keywords : cardiac pacing; right ventricular pacing; electrocardiography; QTc interval; echocardiography;

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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.

Last modified: 2015-07-27 00:54:39