Left ventricular-based pacing in patients with chronic heart failure: Comparison of acute hemodynamic benefits according to underlying heart disease

Jacques Mansourati, Yves Etienne, Martine Gilard, Valérie Valls-Bertault, Jacques Boschat, David G. Benditt, Keith G. Lurie, Jean Jacques Blanc

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Background: Acute left ventricular-based pacing has been shown to improve hemodynamics in patients with severe heart failure and left bundle branch block (LBBB). However, it is not known whether the cause of the underlying heart disease influences the potential effect of left ventricular- based pacing. Objectives: The aim of this study was to determine whether beneficial hemodynamic effects of acute left ventricular-based pacing in severe chronic heart failure are dependent on underlying heart disease. Methods: After coronary angiography, patients with severe heart failure and LBBB were separated into two groups: dilated (25 patients; 20 male) and ischemic cardiomyopathy (21 patients; 20 male). Hemodynamic parameters were evaluated at baseline and during left ventricular-based pacing. Results: Improvement in hemodynamic parameters were similar in both groups, during acute left ventricular pacing (changes expressed in percentage): pulmonary capillary wedge pressure, - 16 ± 15% vs. - 14 ± 10%; V wave amplitude, - 25 ± 18% vs. - 21 ± 17%; and biventricular pacing, - 15 ± 15% vs. - 11 ± 11% and -23 ± 18% vs. -16 ± 18%, respectively. Conclusion: Underlying heart disease does not influence the response to acute left ventricular-based pacing in patients with severe heart failure and LBBB. This finding provides support for including all patients with enlarged heart and heart failure in future studies evaluating left ventricular-based pacing. (C) 2000 European Society of Cardiology.

Original languageEnglish (US)
Pages (from-to)195-199
Number of pages5
JournalEuropean Journal of Heart Failure
Volume2
Issue number2
DOIs
StatePublished - Jun 1 2000

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Heart Diseases
Heart Failure
Hemodynamics
Bundle-Branch Block
Cardiac Resynchronization Therapy
Pulmonary Wedge Pressure
Cardiomegaly
Coronary Angiography
Cardiomyopathies

Keywords

  • Dilated cardiomyopathy
  • Heart failure
  • Hemodynamics
  • Ischemic cardiomyopathy
  • Pacing

Cite this

Left ventricular-based pacing in patients with chronic heart failure : Comparison of acute hemodynamic benefits according to underlying heart disease. / Mansourati, Jacques; Etienne, Yves; Gilard, Martine; Valls-Bertault, Valérie; Boschat, Jacques; Benditt, David G.; Lurie, Keith G.; Blanc, Jean Jacques.

In: European Journal of Heart Failure, Vol. 2, No. 2, 01.06.2000, p. 195-199.

Research output: Contribution to journalArticle

Mansourati, Jacques ; Etienne, Yves ; Gilard, Martine ; Valls-Bertault, Valérie ; Boschat, Jacques ; Benditt, David G. ; Lurie, Keith G. ; Blanc, Jean Jacques. / Left ventricular-based pacing in patients with chronic heart failure : Comparison of acute hemodynamic benefits according to underlying heart disease. In: European Journal of Heart Failure. 2000 ; Vol. 2, No. 2. pp. 195-199.
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AB - Background: Acute left ventricular-based pacing has been shown to improve hemodynamics in patients with severe heart failure and left bundle branch block (LBBB). However, it is not known whether the cause of the underlying heart disease influences the potential effect of left ventricular- based pacing. Objectives: The aim of this study was to determine whether beneficial hemodynamic effects of acute left ventricular-based pacing in severe chronic heart failure are dependent on underlying heart disease. Methods: After coronary angiography, patients with severe heart failure and LBBB were separated into two groups: dilated (25 patients; 20 male) and ischemic cardiomyopathy (21 patients; 20 male). Hemodynamic parameters were evaluated at baseline and during left ventricular-based pacing. Results: Improvement in hemodynamic parameters were similar in both groups, during acute left ventricular pacing (changes expressed in percentage): pulmonary capillary wedge pressure, - 16 ± 15% vs. - 14 ± 10%; V wave amplitude, - 25 ± 18% vs. - 21 ± 17%; and biventricular pacing, - 15 ± 15% vs. - 11 ± 11% and -23 ± 18% vs. -16 ± 18%, respectively. Conclusion: Underlying heart disease does not influence the response to acute left ventricular-based pacing in patients with severe heart failure and LBBB. This finding provides support for including all patients with enlarged heart and heart failure in future studies evaluating left ventricular-based pacing. (C) 2000 European Society of Cardiology.

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