(FIT)-Module 5 Workshop 8: Device Cases-Ellenbogen Case 2 Answer

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Video Summary

The correct answer for a patient with a high burden of ventricular pacing and an ejection fraction of 48% is a DDD pacemaker with the RV lead in the His bundle region or a biventricular pacemaker. This decision is based on guidelines acknowledging conduction system pacing and CRT as class 2A options. In Europe, a biventricular pacemaker might be preferred due to different guidelines. For mild mitral regurgitation and an EF of 55%, a DDD pacemaker with a conventional RV lead suffices. The block heart failure trial supports these guidelines, showing better outcomes with BIV pacing.

Keywords

ventricular pacing

ejection fraction

DDD pacemaker

His bundle pacing

biventricular pacemaker