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Left ventricular apical pacing-induced heart failure in a child after congenital heart surgery: a case report.

Rik De WolfRoel L F van der PalenArend D J Ten HarkelMark G HazekampNico A Blom
Published in: European heart journal. Case reports (2024)
Right ventricular pacing is a well-known cause of pacing-induced cardiomyopathy. The LV apex and LV free wall are thought to be most optimal locations for ventricular pacing in children. However, LVAP can also be the cause of a pacing-induced cardiomyopathy and decreased systolic LV function in children with complex congenital heart disease due to lack of LV contraction synchrony. Cardiac resynchronization therapy can reverse this LV dysfunction and remodelling.
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