does site matter for pacing the right ventricle?
Michael D. Gammage* Department of Cardiovascular Medicine, The Medical School, University of Birmingham, Birmingham B15 2TT, UK * Corresponding author. Tel: +44 121 415 8780; fax: +44 121 414 3713. E-mail address: m.d.gammage{at}bham.ac.uk’ + u + ‘@’ + d + ”//–> This editorial refers to Long-term outcomes in patients with atrioventricular block undergoing septal ventricular lead implantation compared with standard apical pacing by A. Kypta et al.,doi:10.1093/europace/eun085 Pacing for the relief of bradycardia might be considered a mature therapy, having now been available for 50 years, so it is refreshing to see that there are still many unanswered questions relating to the practice of pacing the ventricle. Although it seems clear from population-based studies that ventricular pacing increases the risk of left ventricular dysfunction and that the cumulative percentage of pacing is directly related to that risk,1 it is unclear whether it is simply pacing the ventricle or the site of