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pubmed-article:18982136pubmed:dateCreated2008-11-4lld:pubmed
pubmed-article:18982136pubmed:abstractTextIt is well established that cardiac resynchronisation therapy (CRT) using biventricular pacing prolongs survival by its effects on pump failure. The rate of sudden cardiac death in patients undergoing CRT, however, remains high. Animal and human studies have shown that reversal of normal sequence of myocardial activation during epicardial pacing, as applied during CRT, increases the transmural dispersion of repolarisation (TDR), a substrate for ventricular arrhythmias. Cohort studies in humans suggest that CRT has a differential effect on the arrhythmogenic substrate, antiarrhythmic in some and proarrhythmic in others. This review the focuses on the possibility that CRT may, under certain circumstances, promote arrhythmogenesis.lld:pubmed
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pubmed-article:18982136pubmed:statusPubMed-not-MEDLINElld:pubmed
pubmed-article:18982136pubmed:issn0972-6292lld:pubmed
pubmed-article:18982136pubmed:authorpubmed-author:LeyvaFrancisc...lld:pubmed
pubmed-article:18982136pubmed:authorpubmed-author:FoleyPaul...lld:pubmed
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pubmed-article:18982136pubmed:volume8lld:pubmed
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pubmed-article:18982136pubmed:pagination268-80lld:pubmed
pubmed-article:18982136pubmed:year2008lld:pubmed
pubmed-article:18982136pubmed:articleTitleIs cardiac resynchronisation therapy proarrhythmic?lld:pubmed
pubmed-article:18982136pubmed:affiliationDepartment of Cardiology, University of Birmingham, Good Hope Hospital, West Midlands, England. francisco.leyva@eartofengland.nhs.uklld:pubmed
pubmed-article:18982136pubmed:publicationTypeJournal Articlelld:pubmed