Spatial Dispersion of Activation and Repolarization Times Associated with Different Cardiac Pacing Modes Article Swipe
Saúl Palacios
,
Radovan Smíšek
,
Karol Čurila
,
Uyên Châu Nguyên
,
Frits W. Prinzen
,
Josef Halámek
,
Filip Plešinger
,
Pavel Jurák
,
Esther Pueyo
,
Juan Pablo Martínez
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.22489/cinc.2023.420
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.22489/cinc.2023.420
Various modes of ventricular pacing are currently applied to patients with an indication for permanent pacemaker implantation. The so-called physiological pacing modes, like His bundle pacing (HBP) and left bundle branch pacing (LBBP), stimulate the cardiac conduction system to induce efficient physiological activation. Other techniques, such as left ventricular septal pacing (LVSP) and right ventricular septal and apical pacing (RVSP and RVAP), stimulate the ventricular septum or right ventricular apex. 695 ultra-high-frequency electrocardiograms (UHF-ECG)from 176 patients with narrow QRS and pacemaker indication were analyzed to characterize their activation (AT) and repolarization (RT) time. AT and RT were grouped into three regions (R1: leads V1-V2; R2: V3-V4; R3: V5-V6). Overall, selective HBP (sHBP), non-selective LBBP (nsLBBP) and LVSP recordings had the closest AT and RT values to spontaneous rhythm recordings. For AT, the mean R1-R2 and R3-R2 differences with respect to spontaneous rhythm were, in absolute value, below 3, 16 and 10 ms for sHBP, nsLBBP and LVSP, respectively. For RT, the corresponding mean differences were below 11, 34 and 24 ms for sHBP, nsLBBP and LVSP. In conclusion, HBP, LBBP and LVSP render the closest ventricular AT and RT to the spontaneous rhythm in patients with physiological conduction (narrow QRS).
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Metadata
- Type
- article
- Language
- en
- Landing Page
- http://doi.org/10.22489/cinc.2023.420
- OA Status
- green
- Cited By
- 1
- References
- 12
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390446726
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4390446726Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.22489/cinc.2023.420Digital Object Identifier
- Title
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Spatial Dispersion of Activation and Repolarization Times Associated with Different Cardiac Pacing ModesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-11-26Full publication date if available
- Authors
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Saúl Palacios, Radovan Smíšek, Karol Čurila, Uyên Châu Nguyên, Frits W. Prinzen, Josef Halámek, Filip Plešinger, Pavel Jurák, Esther Pueyo, Juan Pablo MartínezList of authors in order
- Landing page
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https://doi.org/10.22489/cinc.2023.420Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
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https://cris.maastrichtuniversity.nl/en/publications/b20fcc39-cac7-466e-94ec-09cf25ee2326Direct OA link when available
- Concepts
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Repolarization, Dispersion (optics), Spatial dispersion, Cardiac pacing, Cardiology, Internal medicine, Materials science, Medicine, Physics, Optics, ElectrophysiologyTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2024: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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