{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T11:35:17Z","timestamp":1763552117579},"reference-count":0,"publisher":"Instituto Nacional Cardovascular - Carlos Alberto Peschiera Carrillo","issue":"2","license":[{"start":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T00:00:00Z","timestamp":1622073600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Peru Cardiol Cir Cardiovasc"],"abstract":"<jats:p>The right ventricular (RV) apical pacing causes a dyssynchronous activation of the left ventricle and the papillary muscles, which determines the decline of the left ventricular ejection fraction (LVEF) in addition to inadequate closure of the valvular apparatus with the presence of different degrees of mitral valve regurgitation. The study of this condition is relevant in clinical decision-making to define patients who benefit from cardiac resynchronization for the relief of symptomatic mitral regurgitation. However, there is a wide heterogeneity of conditions and pathologies that can coexist with different degrees of cardiomyopathies in these patients, which makes etiological determination challenging and worsens the clinical course. The transthoracic echocardiography allows us the comprehensive assessment of mitral valve regurgitation and ventricular function parameters as well as mechanical dyssynchrony as a result of the artificial pacing.<\/jats:p>","DOI":"10.47487\/apcyccv.v2i2.130","type":"journal-article","created":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T00:57:20Z","timestamp":1625792240000},"page":"112-120","source":"Crossref","is-referenced-by-count":1,"title":["Distintos fenotipos de insuficiencia mitral en pacientes con estimulaci\u00f3n apical del ventr\u00edculo derecho: Un abordaje ecocardiogr\u00e1fico en una heterogeneidad de escenarios cl\u00ednicos","Different phenotypes of mitral regurgitation in patients with right apical ventricular pacing: An echocardiographic approach in a heterogeneity of clinical scenario"],"prefix":"10.47487","volume":"2","author":[{"given":"Diego Xavier","family":"Chango Azanza","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart\u00edn Alejandro","family":"Mun\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"Raggio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Perea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justo","family":"Carbajales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26947","published-online":{"date-parts":[[2021,5,27]]},"container-title":["Archivos Peruanos de Cardiolog\u00eda y Cirug\u00eda Cardiovascular"],"original-title":[],"link":[{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/130\/150","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/130\/250","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/download\/130\/250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T05:12:14Z","timestamp":1719119534000},"score":1,"resource":{"primary":{"URL":"https:\/\/apcyccv.org.pe\/index.php\/apccc\/article\/view\/130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,27]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6,29]]}},"URL":"https:\/\/doi.org\/10.47487\/apcyccv.v2i2.130","relation":{},"ISSN":["2708-7212"],"issn-type":[{"value":"2708-7212","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,27]]}}}