Laksono Sidhi, Setianto Budhi, Iqbal Mohammad, Prawara Ananta Siddhi
Department of Cardiology and Vascular Medicine, RS Pusat Pertamina, South Jakarta, Indonesia.
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Muhammadiyah Prof. Dr. Hamka, Tangerang, Indonesia.
Int J Angiol. 2021 Oct 1;31(1):10-15. doi: 10.1055/s-0041-1735206. eCollection 2022 Mar.
This study aimed to figure out the incidence and predictors of pacemaker-induced cardiomyopathy (PICM) in patients with right ventricular (RV) pacing. We systematically searched in PubMed on March 18, 2020, for English language abstract and full-article journals, using the following criteria: pacemaker induced cardiomyopathy AND right ventricular AND pacemaker AND patients AND human NOT implantable cardioverter defibrillator NOT ICD NOT animal. Four studies were included in this review after filtering 35 studies through year of publication and abstract selection. The average PICM incidence from 1,365 patients included from the four studies was 10.7 to 13.7%. One study stated that preimplantation left ventricular ejection fraction (LVEF) was the predictor for the development of PICM. Three studies mentioned that RV pacing burden was the predictor for the development of PICM. However, the percentage differ in three studies: ≥20, >40, and 60%. In addition, one of the studies also included interventricular dyssynchrony as another predictor. The incidence of PICM in patients with RV pacing ranged from 10.7 to 13.7%. Preimplantation LVEF, interventricular dyssynchrony, and burden of RV pacing are reported as the predictors for the development of PICM in patients with RV pacing.
本研究旨在明确右心室（RV）起搏患者中起搏器诱导的心肌病（PICM）的发生率及预测因素。2020年3月18日，我们在PubMed上系统检索了英文摘要和全文期刊，检索标准如下：起搏器诱导的心肌病、右心室、起搏器、患者、人类，不包括植入式心律转复除颤器、不包括ICD、不包括动物。通过按发表年份和摘要筛选对35项研究进行过滤后，本综述纳入了4项研究。这4项研究纳入的1365例患者中，PICM的平均发生率为10.7%至13.7%。一项研究指出，植入前左心室射血分数（LVEF）是PICM发生的预测因素。三项研究提到，RV起搏负担是PICM发生的预测因素。然而，三项研究中的百分比不同：≥20%、>40%和60%。此外，其中一项研究还将心室间不同步作为另一个预测因素。RV起搏患者中PICM的发生率为10.7%至13.7%。植入前LVEF、心室间不同步和RV起搏负担被报告为RV起搏患者中PICM发生的预测因素。
