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Optimal right ventricular pacing site in chronically implanted patients

A prospective randomized crossover comparison of apical and outflow tract pacing

Frederic Victor, MD^a, Christophe Leclercq, MD^a, Philippe Mabo, MD^a, Dominique Pavin, MD^a, Anne Deviller, MD, Christian de Place, MD^a, Philippe Pezard, MD^*, Jacques Victor, MD^* and Claude Daubert, MD, FESC^a

^a Department of Cardiology, University Hospital of Rennes, Rennes, France
^* Department of Cardiology, University Hospital of Angers, Angers, France
Department of Nuclear Medicine, University Hospital of Rennes, Rennes, France

View larger version (64K): [in a new window]   Figure 1 Chest X ray, (A) frontal and (B) sagittal projections showing the position of the two ventricular leads: the passive lead at the right ventricular apex and the screw-in lead at the RVOT free wall.

View larger version (20K): [in a new window]   Figure 2 Individual patient evolution for LVEF.

View larger version (18K): [in a new window]   Figure 3 Individual patient evolution for cardiac output.