A possible major breakthrough in thinking about diastolic dysfunction and HFpEF, MRI scanning and cardiac devices, and AF and dementia are the topics drjohnm, covers in this week’s podcast. CardioTwitter
leads me to believe that I and perhaps the entire cardiology community have been wrong about a core concept in cardiology, for decades. Pause there. Yes, turn down the pace of the treadmill or back off on the watts if you’re on your bike.
The study involved patients who had HFpEF but who also had pacers that were capable of pacing the heart without creating right ventricle - left ventricle dyssynchrony. This later point cannot be understated. These were not standard RV leads.One arm got standard pacing at a lower rate of 60 beats/minute. Like it is out of the box.
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