Publication detail

Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography

ČURILA, K. JURÁK, P. LEINVEBER, P. SMÍŠEK, R. ŠTROS, P. PLEŠINGER, F. VIŠČOR, I. VONDRA, V. MIZNER, J. SUSSENBEK, O. ZNOJILOVÁ, L. KARCH, J. SUŠÁNKOVÁ, M. HALÁMEK, J. PRINZEN, F.

Original Title

Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography

Type

conference paper

Language

English

Original Abstract

Background: Permanent cardiac pacing can cause heart failure, with the ventricular dyssynchrony being identified as the main cause for its development. Method: His bundle pacing (HBp), left bundle branch pacing (LBBp), and left ventricular myocardial septal pacing (LVSP) were introduced recently. Their impact on ventricular dyssynchrony was not known. We used ultra- high-frequency ECG (UHF-ECG) to compare ventricular depolarization in these pacing techniques. Results: We showed the nonselective HB pacing produces the same pattern of UHF-ECG ventricular depolarization as selective HB pacing. Next, we showed the nonselective His bundle pacing in the area below the tricuspid valve has the best interventricular synchrony from all other RV pacing locations with myocardial capture. We also compared UHF-ECG-derived parameters of ventricular depolarization during HBp, LBBp, and LVSP and we showed that both pacing types from the left septal area are less physiological than nsHBp. Conclusion: UHF-ECG is an effective tool that can be used in clinical practice to assess the electrical dyssynchrony caused by cardiac pacing. Furthermore, its real-time implementation allows recognizing between physiological vs. non-physiological pacing during an implant procedure.

Keywords

Physiological cardiac pacing, Non-physiological cardiac pacing, Ultra-high-frequency electrocardiography, VDI Vision

Authors

ČURILA, K.; JURÁK, P.; LEINVEBER, P.; SMÍŠEK, R.; ŠTROS, P.; PLEŠINGER, F.; VIŠČOR, I.; VONDRA, V.; MIZNER, J.; SUSSENBEK, O.; ZNOJILOVÁ, L.; KARCH, J.; SUŠÁNKOVÁ, M.; HALÁMEK, J.; PRINZEN, F.

Released

10. 1. 2022

Publisher

IEEE

Location

Brno, Czech republic

ISBN

2325-887X

Periodical

Computing in Cardiology

Year of study

48

Number

1

State

United States of America

Pages from

1

Pages to

4

Pages count

4

URL

https://www.cinc.org/2021/Program/accepted/85_Preprint.pdf

BibTex

@inproceedings{BUT174110,
  author="Karol {Čurila} and Pavel {Jurák} and Pavel {Leinveber} and Radovan {Smíšek} and Petr {Štros} and Filip {Plešinger} and Ivo {Viščor} and Vlastimil {Vondra} and Jan {Mizner} and Ondřej {Sussenbek} and Lucie {Znojilová} and Jakub {Karch} and Markéta {Sušánková} and Josef {Halámek} and Frits {Prinzen}",
  title="Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography",
  booktitle="Computing in Cardiology 2021",
  year="2022",
  journal="Computing in Cardiology",
  volume="48",
  number="1",
  pages="1--4",
  publisher="IEEE",
  address="Brno, Czech republic",
  doi="10.23919/CinC53138.2021.9662912",
  issn="2325-887X",
  url="https://www.cinc.org/2021/Program/accepted/85_Preprint.pdf"
}