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rbbb
I 48 years of age suffering from Right Bundle Brunch Blockage for 5/6 years and failed to find RBBB in any of the known homeopathic Repertories.Though my health condition is still improving with homeopathic treatment based on totality of my symptoms.
Now I am asking my friends of the forum to enlighten me.
ngdas on 2006-03-26
This is just a forum. Assume posts are not from medical professionals.
Hope this helps
Europace 2005 7(3):295; doi:10.1016/j.eupc.2005.02.030
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Articles by Music, L.
Articles by Bulatovic, N
PubMed
Articles by Music, L.
Articles by Bulatovic, N
© 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.
CP33: RIGHT VENTRICULAR APICAL PACING IN PATIENTS WITH PREVIOUS LEFT BUNDLE BRUNCH BLOCK
Lj Music, *, D Music, **, A Boskovic, * and N Bulatovic, *
Clinical Center of Montenegro Podgorica, Serbia and Montenegro
The aim of the study was to compare the functional effects of right ventricular apical pacing (RVAP) with spontaneous ventricular activation in heart failure patients with and without LBBB.
METHODS: 12 patients (mean age 65 ± 9, 5 women, NYHA 23, DDD pacemakers implanted for brady-arrythmias) devided in two group. Group I consisted of 6 heart failure patients with LBBB. Group II consisted of 6 heart failure patients without LBBB. Age, gender, NYHA class, pacemaker indication, RR interval, AV delay, diagnosis, LV size were similiar in the two groups. All patients underwent Echo Doppler examination before and after 29±4 days of continuous RVAP. The following parametars were measured: electromechanical delay (EMD) the time from ventricular spike during RVAP or the onset of QRS to the onset of contraction of the last activated LV segment (posterior wall); Interventricular contraction delay (IVCD) as the time between onset of aortic and pulmonary flow; LV diastolic filling duration, preejection time and ejection time.
RESULTS: Group I: RVAP was associated with no significant difference in QRS width (148±24 vs 139±31ms, NS), significant shortening of EMD (170±11 vs 179±22ms, p<0.01) and significant shortening of IVCD (71±18 vs 79±21ms, p<0.05), while LV filling time, preejection time and ejection time showed no significant differences. Group II: RVAP was associated with no significant difference in QRS width (101±29 vs 89±21ms, p>0.05), significant longer EMD (129±14 vs 98±10 ms, p<0.05), significant longer IVCD (61±20 vs 17±8ms p<0.01); LV filling time was shorter (324±61 vs 357±61 ms, p<0.05). Preejection time and ejection time showed no significant difference.
CONCLUSION: RVAP can reduce the degree of LV asynchrony in heart failure pts with LBBB, while in heart failure pts without LBBB, RVAP worsening LV perfomance and induced higher degree of interventricular desynchronization. In pts with reduced LV function the RVAP should be minimal or CRT should be considered.
Europace 2005 7(3):295; doi:10.1016/j.eupc.2005.02.030
This Article
FREE Full Text (PDF)
Alert me when this article is cited
Alert me if a correction is posted
Services
Email this article to a friend
Similar articles in this journal
Alert me to new issues of the journal
Add to My Personal Archive
Download to citation manager
Request Permissions
Google Scholar
Articles by Music, L.
Articles by Bulatovic, N
PubMed
Articles by Music, L.
Articles by Bulatovic, N
© 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.
CP33: RIGHT VENTRICULAR APICAL PACING IN PATIENTS WITH PREVIOUS LEFT BUNDLE BRUNCH BLOCK
Lj Music, *, D Music, **, A Boskovic, * and N Bulatovic, *
Clinical Center of Montenegro Podgorica, Serbia and Montenegro
The aim of the study was to compare the functional effects of right ventricular apical pacing (RVAP) with spontaneous ventricular activation in heart failure patients with and without LBBB.
METHODS: 12 patients (mean age 65 ± 9, 5 women, NYHA 23, DDD pacemakers implanted for brady-arrythmias) devided in two group. Group I consisted of 6 heart failure patients with LBBB. Group II consisted of 6 heart failure patients without LBBB. Age, gender, NYHA class, pacemaker indication, RR interval, AV delay, diagnosis, LV size were similiar in the two groups. All patients underwent Echo Doppler examination before and after 29±4 days of continuous RVAP. The following parametars were measured: electromechanical delay (EMD) the time from ventricular spike during RVAP or the onset of QRS to the onset of contraction of the last activated LV segment (posterior wall); Interventricular contraction delay (IVCD) as the time between onset of aortic and pulmonary flow; LV diastolic filling duration, preejection time and ejection time.
RESULTS: Group I: RVAP was associated with no significant difference in QRS width (148±24 vs 139±31ms, NS), significant shortening of EMD (170±11 vs 179±22ms, p<0.01) and significant shortening of IVCD (71±18 vs 79±21ms, p<0.05), while LV filling time, preejection time and ejection time showed no significant differences. Group II: RVAP was associated with no significant difference in QRS width (101±29 vs 89±21ms, p>0.05), significant longer EMD (129±14 vs 98±10 ms, p<0.05), significant longer IVCD (61±20 vs 17±8ms p<0.01); LV filling time was shorter (324±61 vs 357±61 ms, p<0.05). Preejection time and ejection time showed no significant difference.
CONCLUSION: RVAP can reduce the degree of LV asynchrony in heart failure pts with LBBB, while in heart failure pts without LBBB, RVAP worsening LV perfomance and induced higher degree of interventricular desynchronization. In pts with reduced LV function the RVAP should be minimal or CRT should be considered.
walkin last decade
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