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Title: A Novel pacing option in patients with endomyocardial fibrosis: A case series
Authors: Sundaram, C
Kartik, VS
Namboodiri, N
Ajitkumar, VK
Keywords: Atrial flutter; Complete heart block; Endomyocardial fibrosis; Epicardial pacing.
Issue Date: Sep-2021
Publisher: Indian Pacing and Electrophysiology Journal
Citation: Sundaram C, Kartik VS, Namboodiri N, Ajitkumar VK. A Novel pacing option in patients with endomyocardial fibrosis: A case series. Indian Pacing and ElectrophysiologyJournal.2021Sep-Oct;21(5):303-307
Abstract: Endomyocardial fibrosis (EMF) is characterized by fibrous tissue deposition on the endocardial surface leading to impaired filling of one or both ventricles, resulting in either right or left heart failure or both. Although Sinus node dysfunction and tachyarrhythmia - atrial fibrillation, ventricular tachycardia, have been commonly reported, complete heart block (CHB) necessitating a pacemaker is rare in EMF. Transvenous pacing is technically limited by fibrotic obliteration of the affected ventricle that results in poor lead parameters, and alternative pacing strategy like epicardial pacing may be required in many. We report three cases of EMF, who were treated with an alternative pacing strategy.
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