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• W2122463710 abstract "Background: The coronary sinus (CS) was, for 10 years, the standard place for permanentatrial pacing, and the antiarrhythmic properties of CS pacing were described by Moss in theearly 70’s. These observations were confirmed during EP studies, although currently permanentCS pacing is infrequently applied. Signal averaged (SA) P wave analysis has establishedvalues for the examination of EP properties of atrial myocardium. The aim of our study was toestimate the effect of CS pacing on the signal-averaged P wave recorded from external andintraatrial leads. Methods: Recordings were performed in 24 patients during biatrial pacing system implantation.A surface SA-ECG was obtained from orthogonal leads, and intraatrial signals wererecorded and processed separately from the right and left atrium at SR and CS pacing. Weanalyzed standard SA-ECG parameters (P/A wave duration, RMS20 and LAS5) and thepresence of atrial late potentials (ALP-Pdur > 125 ms and RMS20 Results and conclusions: Coronary sinus pacing favourably modifies SA P wave parametersof the left atrium; it significantly shortens Pdur, distinctly increases RMS20, decreasesLAS5 and eliminates ALP in most patients in comparison to SR. It indicates beneficial effectsof CS pacing on left atrial excitation and may explain its antiarrhythmic effect. Coronarysinus pacing does not deteriorate right atrium activation; it even slightly increases RMS20and shortens the duration of LAS5 in RA in comparison to SR. Our findings suggest that CSis still an attractive site for permanent atrial pacing in patients with atrial arrhythmias andatrial conduction disturbances. (Cardiol J 2007; 14: 470-481)" @default.
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• W2122463710 date "2007-01-01" @default.
• W2122463710 modified "2023-09-23" @default.
• W2122463710 title "Coronary sinus pacing: Its influence on external and intraatrial signal-averaged P wave time domain parameters." @default.
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