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Dinesh Kumar

Gauhati Medical college & Hospital, India

Title: Assessment of right ventricular function following permanent pacemaker implantation by echocardiography (including 3d echocardiography)

Abstract

Background: This study investigates the impact of Right Ventricular (RV) pacing on RV function, a topic previously underexplored despite known links between RV pacing and Left Ventricular dysfunction. A prospective study is conducted to assess the occurrence of RV dysfunction by 2D and 3D echocardiography at 3 months & 6 months after pacemaker implantation. 

Methods: This is a prospective, descriptive, single-centre study. All patients who underwent pacemaker implantation assessed for RV function by 2D and 3D Echocardiography at baseline, 3 months & 6 months post-implantation. The change in the follow-up period is evaluated using single factor analysis of variance ANOVA with repeated measures in normally distributed data & Bonferroni post-hoc test. A p value of <0.05 is considered statistically significant. 

Results: From January 2022 to December 2022, a total of 66 patients with permanent pacemaker were enrolled in the study. There was statistically significant changes in mean PASP (mm Hg) during follow up (18.45 ± 3.45 (Baseline) vs. 22.18 ± 3.76 (3-month) vs 26.45 + 3.97 , p value <0.05) ; mean RIMP during follow up ( 0.48 ± 0.04 (Baseline) vs. 0.50 ± 0.04 (3-month) vs 0.50 + 0.03 (6-month) , p value <0.05) ;mean RV E/E’ during follow up ( 4.47 ± 0.57 (Baseline ) vs. 4.70 ± 0.74 (3-month) vs 4.95 + 0.82 (6-month) , p value <0.05) ;mean TR Jet Area (cm2) during follow up ( 1.68 ± 0.26 (Baseline) vs. 2.22 ± 0.43 (3-month) vs 2.56 + 0.53 (6-month), p value <0.05).Other echocardiographic parameters of RV function did not show any significant changes 

Conclusions: The study documents change in RV function as early as 6 months post pacemaker implantation. The permanent pacemaker is associated with changes in RIMP, RV E/E’, PASP, and TR Jet Area during 6 months after ventricular pacing.

Biography

Dr. Dinesh Kumar studied MBBS at the University college of medical sciences, Delhi University, India and graduated as MD Medicine in 2016 from Lady Hardinge college of medical sciences, Delhi university, India. He then joined DM cardiology at the Gauhati Medical College & Hospital, Guwahati, India