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Alcoholic Cardiomyopathy Mimicking as LMCA Disease - A Rare Case Report by Srinivas, S.; Swaminathan, N.; Ravishankar, G.; Justin Paul, G.; Venkatesan, S. is a Medicine article available to read on EtoBox.

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changes were minimal. The LV strain also changed from 1 month with the change in absolute value being less than 1 point. The RV strain had a significant change from the first week and the change in absolute was more than 5 points at six months. These changes were seen independent of the cause of the pacemaker. The patients of acute myocardial infarction and in patients of symptomatic sick sinus syndrome had similar findings. In our study, we also observed that the biggest change in RV strain were seen in patients in whom the percentage of paced beats were high, 1 point in less than 20 percent paced versus more than 7 points in patient in more than 80 percent. ## Conclusion: Right ventricle dysfunction precedes left ventricle dysfunction in patients who have undergone permanent pacemaker implantation. Right ventricle strain can predict right ventricular dysfunction as early as 6 months. The patients with a higher percentage of paced beats tend to develop dysfunction earlier than the patients with lesser percentage of paced beats.

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Author

Srinivas, S.; Swaminathan, N.; Ravishankar, G.; Justin Paul, G.; Venkatesan, S.

Publisher

Cardiological Society of India; Elsevier ; Elsevier BV (ISSN 0019-4832)

Published

2019

Language

GL

Field

Medicine (Health Sciences)