Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography
Identifikátory výsledku
Kód výsledku v IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68081731%3A_____%2F21%3A00555018" target="_blank" >RIV/68081731:_____/21:00555018 - isvavai.cz</a>
Výsledek na webu
<a href="https://ieeexplore.ieee.org/document/9662912" target="_blank" >https://ieeexplore.ieee.org/document/9662912</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.23919/CinC53138.2021.9662912" target="_blank" >10.23919/CinC53138.2021.9662912</a>
Alternativní jazyky
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.
Klasifikace
Druh
D - Stať ve sborníku
CEP obor
—
OECD FORD obor
30201 - Cardiac and Cardiovascular systems
Návaznosti výsledku
Projekt
<a href="/cs/project/NU21-02-00584" target="_blank" >NU21-02-00584: Využití vysokofrekvenčního EKG k predikci negativní remodelace levé komory srdeční při chronické kardiostimulaci</a><br>
Návaznosti
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Ostatní
Rok uplatnění
2021
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název statě ve sborníku
2021 Computing in Cardiology (CinC)
ISBN
978-166547916-5
ISSN
2325-8861
e-ISSN
2325-887X
Počet stran výsledku
4
Strana od-do
85
Název nakladatele
IEEE
Místo vydání
New York
Místo konání akce
Brno
Datum konání akce
12. 9. 2021
Typ akce podle státní příslušnosti
WRD - Celosvětová akce
Kód UT WoS článku
—