Paced QRS morphology predicts incident left ventricular systolic dysfunction and atrial fibrillation

Autor: Martin van Zyl, Chance M. Witt, Subir Bhatia, Majd Khasawneh, Prakriti Gaba, Charles J. Lenz, Andrew N. Rosenbaum, Htin Aung, David O. Hodge, Christopher J. McLeod, Samuel J. Asirvatham
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 19, Iss 2, Pp 40-46 (2019)
Druh dokumentu: article
ISSN: 0972-6292
DOI: 10.1016/j.ipej.2019.03.001
Popis: Background: The prognostic significance of paced QRS complex morphology on surface ECG remains unclear. This study aimed to assess long-term outcomes associated with variations in the paced QRS complex. Methods: Adult patients who underwent dual-chamber pacemaker implantation with 20% or more ventricular pacing and a 12-lead ECG showing a paced complex were included. The paced QRS was analyzed in leads I and aVL. Long-term clinical and echocardiographic outcomes were compared at 5 years. Results: The study included 844 patients (43.1% female; age 75.0 ± 12.1). Patients with a longer paced QRS (pQRS) duration in lead I had a lower rate of atrial fibrillation (HR 0.80; p = 0.03) and higher rate of systolic dysfunction (HR 1.17; p
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