Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216305%3A26220%2F22%3APU142244" target="_blank" >RIV/00216305:26220/22:PU142244 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.cinc.org/2021/Program/accepted/85_Preprint.pdf" target="_blank" >https://www.cinc.org/2021/Program/accepted/85_Preprint.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.23919/CinC53138.2021.9662912" target="_blank" >10.23919/CinC53138.2021.9662912</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography

Popis výsledku v původním jazyce

Background: Permanent cardiac pacing can cause heart failure, with the ventricular dyssynchrony being identified as the main cause for its development. Method: His bundle pacing (HBp), left bundle branch pacing (LBBp), and left ventricular myocardial septal pacing (LVSP) were introduced recently. Their impact on ventricular dyssynchrony was not known. We used ultra- high-frequency ECG (UHF-ECG) to compare ventricular depolarization in these pacing techniques. Results: We showed the nonselective HB pacing produces the same pattern of UHF-ECG ventricular depolarization as selective HB pacing. Next, we showed the nonselective His bundle pacing in the area below the tricuspid valve has the best interventricular synchrony from all other RV pacing locations with myocardial capture. We also compared UHF-ECG-derived parameters of ventricular depolarization during HBp, LBBp, and LVSP and we showed that both pacing types from the left septal area are less physiological than nsHBp. Conclusion: UHF-ECG is an effective tool that can be used in clinical practice to assess the electrical dyssynchrony caused by cardiac pacing. Furthermore, its real-time implementation allows recognizing between physiological vs. non-physiological pacing during an implant procedure.

Název v anglickém jazyce

Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography

Popis výsledku anglicky

Background: Permanent cardiac pacing can cause heart failure, with the ventricular dyssynchrony being identified as the main cause for its development. Method: His bundle pacing (HBp), left bundle branch pacing (LBBp), and left ventricular myocardial septal pacing (LVSP) were introduced recently. Their impact on ventricular dyssynchrony was not known. We used ultra- high-frequency ECG (UHF-ECG) to compare ventricular depolarization in these pacing techniques. Results: We showed the nonselective HB pacing produces the same pattern of UHF-ECG ventricular depolarization as selective HB pacing. Next, we showed the nonselective His bundle pacing in the area below the tricuspid valve has the best interventricular synchrony from all other RV pacing locations with myocardial capture. We also compared UHF-ECG-derived parameters of ventricular depolarization during HBp, LBBp, and LVSP and we showed that both pacing types from the left septal area are less physiological than nsHBp. Conclusion: UHF-ECG is an effective tool that can be used in clinical practice to assess the electrical dyssynchrony caused by cardiac pacing. Furthermore, its real-time implementation allows recognizing between physiological vs. non-physiological pacing during an implant procedure.

Druh

D - Stať ve sborníku

CEP obor

—

OECD FORD obor

20601 - Medical engineering

Projekt

—

Návaznosti

S - Specificky vyzkum na vysokych skolach

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název statě ve sborníku

Computing in Cardiology 2021

ISBN

—

ISSN

2325-887X

e-ISSN

—

Počet stran výsledku

4

Strana od-do

1-4

Název nakladatele

IEEE

Místo vydání

Brno, Czech republic

Místo konání akce

Brno

Datum konání akce

12. 9. 2021

Typ akce podle státní příslušnosti

WRD - Celosvětová akce

Kód UT WoS článku

000821955000200