Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377012875> ?p ?o ?g. }
Showing items 1 to 71 of
71
with 100 items per page.
- W4377012875 endingPage "S365" @default.
- W4377012875 startingPage "S365" @default.
- W4377012875 abstract "Cardiac resynchronization therapy (CRT) can be achieved using biventricular pacing (BiV) or conduction system pacing (CSP) which includes His bundle pacing (HBP), or left bundle branch pacing (LBBP). Achieving a narrow QRS in LBBB/IVCD pattern QRS is challenging and the best site for CRT is often unclear pre-procedurally. To use LV lateral wall activation times intra-procedurally to determine the optimal target for CRT. Consecutive patients (n=17) with cardiomyopathy and LBBB/IVCD were planned for CRT implantation based on current guidelines. A coated vision wire was inserted in one of the lateral branches of CS to measure the baseline Q-LV. Thereafter, HBP or Left bundle branch pacing was attempted in a stepwise fashion to overcome LBBB(Figure 1). If this failed to narrow the QRS duration (QRSd) or decrease the Q-LV significantly, Biventricular pacing was performed. If partial correction was achieved with CSP, a combination of LBBP with CS implant was performed (LOT-CRT). Results: A total of 17 patients (age 64 ± 11 years, 47% women) underwent CRT implantation using the above strategy. Most of the patients had non-ischemic cardiomyopathy (82%) with an average baseline LVEF of 21 ± 6 % and a baseline QRSd of 166 ± 17ms. Based on intraprocedural assessments, 14 patients were identified as having LBBB, 1 with mixed pattern and 2 with a true IVCD pattern. The mean QLV was 127 ± 25 ms at baseline. The final pacing strategy was HBP-CRT in 3 patients (17% ), LBBP CRT in 11 patients (65%), BiV CRT in 2 patients (12%) and LOT-CRT in 1 patient ( 6% ). Final paced QRSd was significantly reduced to 120 ± 25 ms(P < 0.0001 ). The final paced lateral wall LV activation time in patients with true LBBB was significantly shortened from 134 ± 19 ms to 90 ± 18 ms (P< 0.0001 ). follow up LVEF improved to 30 ± 12 % (P<0.011 ). Echocardiographic response was seen in 71.4%, super response in 29%. Intraprocedural measurement of baseline and paced Q-LV using a vision wire in lateral CS branch guides a better target site for CRT in patients with a LBBB/IVCD pattern." @default.
- W4377012875 created "2023-05-19" @default.
- W4377012875 creator A5010747918 @default.
- W4377012875 creator A5025595872 @default.
- W4377012875 creator A5030435316 @default.
- W4377012875 creator A5043136675 @default.
- W4377012875 creator A5048736181 @default.
- W4377012875 creator A5057166610 @default.
- W4377012875 creator A5060811258 @default.
- W4377012875 creator A5062801138 @default.
- W4377012875 creator A5079262737 @default.
- W4377012875 creator A5086904042 @default.
- W4377012875 date "2023-05-01" @default.
- W4377012875 modified "2023-09-26" @default.
- W4377012875 title "PO-02-043 A NOVEL STRATEGY FOR INTRA-PROCEDURAL ASSESSMENT OF THE BEST MODALITY FOR CARDIAC RE-SYNCHRONIZATION IN PATIENTS WITH LBBB/IVCD PATTERN" @default.
- W4377012875 doi "https://doi.org/10.1016/j.hrthm.2023.03.836" @default.
- W4377012875 hasPublicationYear "2023" @default.
- W4377012875 type Work @default.
- W4377012875 citedByCount "0" @default.
- W4377012875 crossrefType "journal-article" @default.
- W4377012875 hasAuthorship W4377012875A5010747918 @default.
- W4377012875 hasAuthorship W4377012875A5025595872 @default.
- W4377012875 hasAuthorship W4377012875A5030435316 @default.
- W4377012875 hasAuthorship W4377012875A5043136675 @default.
- W4377012875 hasAuthorship W4377012875A5048736181 @default.
- W4377012875 hasAuthorship W4377012875A5057166610 @default.
- W4377012875 hasAuthorship W4377012875A5060811258 @default.
- W4377012875 hasAuthorship W4377012875A5062801138 @default.
- W4377012875 hasAuthorship W4377012875A5079262737 @default.
- W4377012875 hasAuthorship W4377012875A5086904042 @default.
- W4377012875 hasBestOaLocation W43770128751 @default.
- W4377012875 hasConcept C111773187 @default.
- W4377012875 hasConcept C126322002 @default.
- W4377012875 hasConcept C164705383 @default.
- W4377012875 hasConcept C2775932942 @default.
- W4377012875 hasConcept C2776034619 @default.
- W4377012875 hasConcept C2777473070 @default.
- W4377012875 hasConcept C2778198053 @default.
- W4377012875 hasConcept C2992910135 @default.
- W4377012875 hasConcept C71924100 @default.
- W4377012875 hasConcept C78085059 @default.
- W4377012875 hasConceptScore W4377012875C111773187 @default.
- W4377012875 hasConceptScore W4377012875C126322002 @default.
- W4377012875 hasConceptScore W4377012875C164705383 @default.
- W4377012875 hasConceptScore W4377012875C2775932942 @default.
- W4377012875 hasConceptScore W4377012875C2776034619 @default.
- W4377012875 hasConceptScore W4377012875C2777473070 @default.
- W4377012875 hasConceptScore W4377012875C2778198053 @default.
- W4377012875 hasConceptScore W4377012875C2992910135 @default.
- W4377012875 hasConceptScore W4377012875C71924100 @default.
- W4377012875 hasConceptScore W4377012875C78085059 @default.
- W4377012875 hasIssue "5" @default.
- W4377012875 hasLocation W43770128751 @default.
- W4377012875 hasOpenAccess W4377012875 @default.
- W4377012875 hasPrimaryLocation W43770128751 @default.
- W4377012875 hasRelatedWork W2010312933 @default.
- W4377012875 hasRelatedWork W2048749233 @default.
- W4377012875 hasRelatedWork W2082998340 @default.
- W4377012875 hasRelatedWork W2369801253 @default.
- W4377012875 hasRelatedWork W2418986541 @default.
- W4377012875 hasRelatedWork W2469815070 @default.
- W4377012875 hasRelatedWork W2999204693 @default.
- W4377012875 hasRelatedWork W3015833594 @default.
- W4377012875 hasRelatedWork W4293037456 @default.
- W4377012875 hasRelatedWork W4315784592 @default.
- W4377012875 hasVolume "20" @default.
- W4377012875 isParatext "false" @default.
- W4377012875 isRetracted "false" @default.
- W4377012875 workType "article" @default.