Matches in SemOpenAlex for { <https://semopenalex.org/work/W4378234068> ?p ?o ?g. }
Showing items 1 to 59 of
59
with 100 items per page.
- W4378234068 abstract "Abstract Funding Acknowledgements Type of funding sources: None. Background His-bundle pacing (HBP) and left bundle branch area pacing (LBBAP) have been popular as physiological pacing procedures and, according to previous reports, both can decrease heart failure admission and preserve left ventricular ejection fraction compared to right ventricular pacing. In general, the physiological pacing has different pacing thresholds (e.g. pacing thresholds of His-bundle or left bundle and myocardium), but automatic capture management cannot diagnose these multiple pacing thresholds and automatic adjustments of ventricular pacing output based on automatic ventricular threshold tests may not achieve the appropriate HBP or LBBAP. Especially in HBP, a fixed pacing output is likely to be recommended to ensure the definite HBP, since HBP thresholds tend to increase over the long term. Purpose It has been reported that LBBAP thresholds are maintained lower than HBP thresholds. The aim of this study is to evaluate the safety and appropriateness of automatic capture management via a remote monitoring system in LBBAP patients. Methods Patients who underwent LBBAP from July 2019 to July 2022 were enrolled. The ventricular capture management used a 2x safety margin above the automatic ventricular pacing thresholds and a minimum pacing output of 2 V at 0.4 ms. Pacing thresholds were monitored using telemonitoring every month and pacing waveforms were evaluated during outpatient visits. Results Ninety patients with successful LBBAP were enrolled. LBBAP thresholds, R-wave amplitudes, and pacing impedances at implantation were 0.71±0.17 V at 0.4 ms, 16.4±6.7 mV, and 568±87.6 Ω, respectively, and the pacing QRS width was 128.8±16.8 ms. There was no significant difference between the pacing thresholds at the time of manual measurement during the outpatient visits and automatic measurement during the telemonitoring immediately before those visits, and all differences in pacing thresholds were less than 0.5 V at 0.4 ms. The median observation period was 481 days (range 215.75-685.5 days), and pacing thresholds, pacing outputs, and pacing QRS width at the last follow-up were 0.87 ± 0.30 V at 0.4 ms, 2.06 ± 0.21 V at 0.4 ms, and 129.3 ± 18.1 ms, respectively. One patient of lead dislodgement was detected 17 months after implantation and lead revision was performed. Another patient had a pacing threshold increase of more than 1V, but the function of automatic pacing output adjustment prevented pacing failure and LBBAP was maintained as well. Conclusions Automatic capture managements in LBBAP could be accurately and safety managed with a remote monitoring system." @default.
- W4378234068 created "2023-05-26" @default.
- W4378234068 creator A5019791546 @default.
- W4378234068 creator A5024681131 @default.
- W4378234068 creator A5058560905 @default.
- W4378234068 creator A5075860098 @default.
- W4378234068 creator A5090411944 @default.
- W4378234068 date "2023-05-24" @default.
- W4378234068 modified "2023-09-26" @default.
- W4378234068 title "Effectiveness and safety of automatic capture management via remote monitoring system in left bundle branch area pacing" @default.
- W4378234068 doi "https://doi.org/10.1093/europace/euad122.407" @default.
- W4378234068 hasPublicationYear "2023" @default.
- W4378234068 type Work @default.
- W4378234068 citedByCount "0" @default.
- W4378234068 crossrefType "journal-article" @default.
- W4378234068 hasAuthorship W4378234068A5019791546 @default.
- W4378234068 hasAuthorship W4378234068A5024681131 @default.
- W4378234068 hasAuthorship W4378234068A5058560905 @default.
- W4378234068 hasAuthorship W4378234068A5075860098 @default.
- W4378234068 hasAuthorship W4378234068A5090411944 @default.
- W4378234068 hasBestOaLocation W43782340681 @default.
- W4378234068 hasConcept C111773187 @default.
- W4378234068 hasConcept C126322002 @default.
- W4378234068 hasConcept C159985019 @default.
- W4378234068 hasConcept C164705383 @default.
- W4378234068 hasConcept C192562407 @default.
- W4378234068 hasConcept C2778134712 @default.
- W4378234068 hasConcept C2778198053 @default.
- W4378234068 hasConcept C3020135794 @default.
- W4378234068 hasConcept C71924100 @default.
- W4378234068 hasConcept C78085059 @default.
- W4378234068 hasConceptScore W4378234068C111773187 @default.
- W4378234068 hasConceptScore W4378234068C126322002 @default.
- W4378234068 hasConceptScore W4378234068C159985019 @default.
- W4378234068 hasConceptScore W4378234068C164705383 @default.
- W4378234068 hasConceptScore W4378234068C192562407 @default.
- W4378234068 hasConceptScore W4378234068C2778134712 @default.
- W4378234068 hasConceptScore W4378234068C2778198053 @default.
- W4378234068 hasConceptScore W4378234068C3020135794 @default.
- W4378234068 hasConceptScore W4378234068C71924100 @default.
- W4378234068 hasConceptScore W4378234068C78085059 @default.
- W4378234068 hasIssue "Supplement_1" @default.
- W4378234068 hasLocation W43782340681 @default.
- W4378234068 hasOpenAccess W4378234068 @default.
- W4378234068 hasPrimaryLocation W43782340681 @default.
- W4378234068 hasRelatedWork W187959415 @default.
- W4378234068 hasRelatedWork W2055573102 @default.
- W4378234068 hasRelatedWork W2067643107 @default.
- W4378234068 hasRelatedWork W2110628407 @default.
- W4378234068 hasRelatedWork W2362265450 @default.
- W4378234068 hasRelatedWork W2369801253 @default.
- W4378234068 hasRelatedWork W2587323853 @default.
- W4378234068 hasRelatedWork W4315784592 @default.
- W4378234068 hasRelatedWork W2062066420 @default.
- W4378234068 hasRelatedWork W2461862799 @default.
- W4378234068 hasVolume "25" @default.
- W4378234068 isParatext "false" @default.
- W4378234068 isRetracted "false" @default.
- W4378234068 workType "article" @default.