Cor Vasa 2024, 66(6):592-597 | DOI: 10.33678/cor.2024.054

(Pacing-induced cardiomyopathy)

Roland Oravský, Andrej Nagy
I. interní kardioangiologická klinika, Fakultní nemocnice u sv. Anny v Brně, Brno, Česká republika

Pacing-induced cardiomyopathy (PICM) does not have an internationally accepted definition. In general, the term refers to the heart failure with a left ventricular EF below 50% and its reduction ≥ 10% after implantation of a pacemaker without known cause. The pacing burden that increases the risk of PICM is > 20%. On the other hand, it cannot be said that a lower pacing burden is safe or that a higher pacing burden is clearly harmful. It is necessary to identify patients with a higher risk of developing PICM before the implantation of a pacemaker and offer other (for now) alternative methods of pacing. In the case of an already developed PICM, an upgrade to a CRT or a CSP should be considered. If indicated it is recommended to perform the upgrade without unnecessary delay after the recognition of the PICM.

Keywords: Cardiac pacing, Cardiac resynchronization therapy, Conduction system pacing, Pacing induced cardiomyopathy

Received: June 27, 2024; Revised: June 27, 2024; Accepted: July 18, 2024; Prepublished online: June 2, 2012; Published: December 20, 2024  Show citation

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Oravský R, Nagy A. (Pacing-induced cardiomyopathy). Cor Vasa. 2024;66(6):592-597. doi: 10.33678/cor.2024.054.
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