Počet záznamů: 1  

Left bundle branch pacing compared to left ventricular septal myocardial pacing increases interventricular dyssynchrony but accelerates left ventricular lateral wall depolarization

  1. 1.
    SYSNO ASEP0544671
    Druh ASEPJ - Článek v odborném periodiku
    Zařazení RIVJ - Článek v odborném periodiku
    Poddruh JČlánek ve WOS
    NázevLeft bundle branch pacing compared to left ventricular septal myocardial pacing increases interventricular dyssynchrony but accelerates left ventricular lateral wall depolarization
    Tvůrce(i) Čurila, K. (CZ)
    Jurák, Pavel (UPT-D) RID, ORCID, SAI
    Jastrzębski, M. (PL)
    Prinzen, F. (NL)
    Waldauf, P. (CZ)
    Halámek, Josef (UPT-D) RID, ORCID, SAI
    Vernooy, K. (NL)
    Smíšek, Radovan (UPT-D) RID, ORCID, SAI
    Karch, J. (CZ)
    Plešinger, Filip (UPT-D) RID, ORCID, SAI
    Moskal, P. (PL)
    Sušánková, M. (CZ)
    Znojilová, L. (CZ)
    Heckman, L. (NL)
    Viščor, Ivo (UPT-D) RID, ORCID, SAI
    Vondra, Vlastimil (UPT-D) RID, ORCID, SAI
    Leinveber, P. (CZ)
    Osmančík, P. (CZ)
    Celkový počet autorů18
    Zdroj.dok.Heart Rhythm. - : Elsevier - ISSN 1547-5271
    Roč. 18, č. 8 (2021), s. 1281-1289
    Poč.str.9 s.
    Forma vydáníTištěná - P
    Jazyk dok.eng - angličtina
    Země vyd.US - Spojené státy americké
    Klíč. slovaDepolarization duration ; Dyssynchrony ; His-bundle pacing ; Left bundle branch pacing ; Left ventricular septal myocardial pacing ; Ultra-high-frequency electrocardiography
    Vědní obor RIVFA - Kardiovaskulární nemoci vč. kardiochirurgie
    Obor OECDCardiac and Cardiovascular systems
    Způsob publikováníOpen access
    Institucionální podporaUPT-D - RVO:68081731
    UT WOS000680052000010
    EID SCOPUS85106369108
    DOI10.1016/j.hrthm.2021.04.025
    AnotaceBackground: Nonselective His-bundle pacing (nsHBp), nonselective left bundle branch pacing (nsLBBp), and left ventricular septal myocardial pacing (LVSP) are recognized as physiological pacing techniques. Objective: The purpose of this study was to compare differences in ventricular depolarization between these techniques using ultra-high-frequency electrocardiography (UHF-ECG). Methods: In patients with bradycardia, nsHBp, nsLBBp (confirmed concomitant left bundle branch [LBB] and myocardial capture), and LVSP (pacing in left ventricular [LV] septal position without proven LBB capture) were performed. Timings of ventricular activations in precordial leads were displayed using UHF-ECG, and electrical dyssynchrony (e-DYS) was calculated as the difference between the first and last activation. Duration of local depolarization (Vd) was determined as width of the UHF-QRS complex at 50% of its amplitude. Results: In 68 patients, data were collected during nsLBBp (35), LVSP (96), and nsHBp (55). nsLBBp resulted in larger e-DYS than did LVSP and nsHBp [– 24 ms (–28,–19) vs –12 ms (–16,–9) vs 10 ms (7,14), respectively, P <.001]. nsLBBp produced similar values of Vd in leads V5–V8 (36-43 ms vs 38-43 ms, P = NS in all leads) but longer Vd in leads V1–V4 (47–59 ms vs 41–44 ms, P <.05) as nsHBp. LVSP caused prolonged Vd in leads V1–V8 compared to nsHBp and longer Vd in leads V5–V8 compared to nsLBBp (44–51 ms vs 36–43 ms, P <.05) regardless of R-wave peak time in lead V5 or QRS morphology in lead V1 present during LVSP. Conclusion: nslbbp preserves physiological LV depolarization but increases interventricular electrical dyssynchrony. LV lateral wall depolarization during LVSP is prolonged, but interventricular synchrony is preserved.
    PracovištěÚstav přístrojové techniky
    KontaktMartina Šillerová, sillerova@ISIBrno.Cz, Tel.: 541 514 178
    Rok sběru2022
    Elektronická adresahttps://www.sciencedirect.com/science/article/pii/S1547527121004021?via%3Dihub
Počet záznamů: 1  

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