FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3214629968> ?p ?o ?g. }

• W3214629968 abstract "Abstract Background Interest in permanent His bundle pacing (HBP) as a means of both preventing pacing-induced cardiomyopathy and providing physiological resynchronization by normalization of His-Purkinje activation is constantly growing. Current devices are not specifically designed for HBP, which gives rise to programming challenges. Purpose To evaluate the critical troubleshooting HBP options in patients with permanent atrial fibrillation (AF) and variable degree of atrio-ventricular block (AVB) who receive HBP through a lead connected to the atrial port, and an additional ventricular “backup”. Methods Between December 2018 and March 2021, 136 consecutive patients with indication for pacing underwent HBP. Among these, 24 had permanent AF with documented symptomatic pauses. Seven of them received a dual-chamber device which was used to place a backup right ventricle (RV) lead; in this scenario, the His lead is implanted in the right atrial (RA) port, the RV lead in the RV port. Depending on the presence of an additional left ventricle (LV) lead, either a dual-chamber and a CRT device can be used. Results In this context, the events marked as atrial sensed (As) or paced (Ap) are indeed ventricular, so that sensing is more complex. A clinical scenario is atrial activity oversensed on the His channel (As) leading to RV dyssynchronous pacing in the ventricular safety pacing (VSP) window. A second one is intrinsic QRS undersensing causing inappropriate His pacing with possible delivery of the RV pulse depending on capture of the His pulse. The interplay of intrinsic ventricular activity (rate, signal amplitude and slew rate on both the His and the ventricular channel) and of the HV interval may be of key importance to troubleshoot As-Vp (atrial sensed – ventricular paced) [Fig. 1A] as well as Vs-Ab (ventricular sensed – atrial blanking period) sequences [Fig. 1B]. Changing sensitivity and sensing configuration may help or fail to fix these issues depending on the abovementioned aspects, making it mandatory to check that the paced AV delay is appropriately set as to avoid inappropriate RV pacing on the T wave of an undersensed intrinsic event at the His channel. DVI(R) mode programming may indeed prove safer than DDD(R) in the setting of preserved intrinsic activity or in the event of intermittent His capture loss. Paced AV delay should be programmed slightly longer than H-V+QRS duration to avoid unnecessary RV pacing with pseudo-fusion (too short) and possibly R/T events (too long). Stability of H-V interval and of QRS duration must be verified at each device follow-up by decremental His pacing to ensure consistent sensitivity of the ventricular signal beyond stable His capture, that may be challenged by infra-hisian block. Conclusions Owing to the absence of HBP-specific devices, HBP shall be made safe and effective by careful troubleshooting, consisting of sensitivity setting, paced AV interval and mode programming. Funding Acknowledgement Type of funding sources: None. Different sensitivity settings for HBP" @default.
• W3214629968 created "2021-11-22" @default.
• W3214629968 creator A5004057540 @default.
• W3214629968 creator A5004076571 @default.
• W3214629968 creator A5026520065 @default.
• W3214629968 creator A5028958006 @default.
• W3214629968 creator A5075588166 @default.
• W3214629968 creator A5076338368 @default.
• W3214629968 creator A5082563751 @default.
• W3214629968 creator A5091851676 @default.
• W3214629968 date "2021-10-01" @default.
• W3214629968 modified "2023-09-27" @default.
• W3214629968 title "Optimal his bundle pacing programming in patients with permanent atrial fibrillation" @default.
• W3214629968 doi "https://doi.org/10.1093/eurheartj/ehab724.0680" @default.
• W3214629968 hasPublicationYear "2021" @default.
• W3214629968 type Work @default.
• W3214629968 sameAs 3214629968 @default.
• W3214629968 citedByCount "0" @default.
• W3214629968 crossrefType "journal-article" @default.
• W3214629968 hasAuthorship W3214629968A5004057540 @default.
• W3214629968 hasAuthorship W3214629968A5004076571 @default.
• W3214629968 hasAuthorship W3214629968A5026520065 @default.
• W3214629968 hasAuthorship W3214629968A5028958006 @default.
• W3214629968 hasAuthorship W3214629968A5075588166 @default.
• W3214629968 hasAuthorship W3214629968A5076338368 @default.
• W3214629968 hasAuthorship W3214629968A5082563751 @default.
• W3214629968 hasAuthorship W3214629968A5091851676 @default.
• W3214629968 hasBestOaLocation W32146299681 @default.
• W3214629968 hasConcept C111773187 @default.
• W3214629968 hasConcept C126322002 @default.
• W3214629968 hasConcept C164705383 @default.
• W3214629968 hasConcept C2776034619 @default.
• W3214629968 hasConcept C2778198053 @default.
• W3214629968 hasConcept C2778921608 @default.
• W3214629968 hasConcept C2779161974 @default.
• W3214629968 hasConcept C71924100 @default.
• W3214629968 hasConcept C78085059 @default.
• W3214629968 hasConceptScore W3214629968C111773187 @default.
• W3214629968 hasConceptScore W3214629968C126322002 @default.
• W3214629968 hasConceptScore W3214629968C164705383 @default.
• W3214629968 hasConceptScore W3214629968C2776034619 @default.
• W3214629968 hasConceptScore W3214629968C2778198053 @default.
• W3214629968 hasConceptScore W3214629968C2778921608 @default.
• W3214629968 hasConceptScore W3214629968C2779161974 @default.
• W3214629968 hasConceptScore W3214629968C71924100 @default.
• W3214629968 hasConceptScore W3214629968C78085059 @default.
• W3214629968 hasIssue "Supplement_1" @default.
• W3214629968 hasLocation W32146299681 @default.
• W3214629968 hasOpenAccess W3214629968 @default.
• W3214629968 hasPrimaryLocation W32146299681 @default.
• W3214629968 hasRelatedWork W1982079297 @default.
• W3214629968 hasRelatedWork W2067788052 @default.
• W3214629968 hasRelatedWork W2067977631 @default.
• W3214629968 hasRelatedWork W2350453664 @default.
• W3214629968 hasRelatedWork W2362265450 @default.
• W3214629968 hasRelatedWork W2369801253 @default.
• W3214629968 hasRelatedWork W2587855402 @default.
• W3214629968 hasRelatedWork W2915561147 @default.
• W3214629968 hasRelatedWork W3031164927 @default.
• W3214629968 hasRelatedWork W4315784592 @default.
• W3214629968 hasVolume "42" @default.
• W3214629968 isParatext "false" @default.
• W3214629968 isRetracted "false" @default.
• W3214629968 magId "3214629968" @default.
• W3214629968 workType "article" @default.