Journal ArticleDOI
The V6-V1 interpeak interval: a novel criterion for the diagnosis of left bundle branch capture.
Marek Jastrzębski,Haran Burri,Grzegorz Kiełbasa,Karol Curila,Paweł Moskal,Agnieszka Bednarek,Marek Rajzer,Pugazhendhi Vijayaraman +7 more
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TLDR
The V6-V1 interpeak interval is a promising novel criterion for the diagnosis of left bundle branch (LBB) area capture in electrocardiogram (ECG) as mentioned in this paper.Abstract:
Aims We hypothesized that during left bundle branch (LBB) area pacing, the various possible combinations of direct capture/non-capture of the septal myocardium and the LBB result in distinct patterns of right and left ventricular activation. This could translate into different combinations of R-wave peak time (RWPT) in V1 and V6. Consequently, the V6-V1 interpeak interval could differentiate the three types of LBB area capture: non-selective (ns-)LBB, selective (s-)LBB, and left ventricular septal (LVS). Methods and results Patients with unquestionable evidence of LBB capture were included. The V6-V1 interpeak interval, V6RWPT, and V1RWPT were compared between different types of LBB area capture. A total of 468 patients from two centres were screened, with 124 patients (239 electrocardiograms) included in the analysis. Loss of LVS capture resulted in an increase in V1RWPT by ≥15 ms but did not impact V6RWPT. Loss of LBB capture resulted in an increase in V6RWPT by ≥15 ms but only minimally influenced V1RWPT. Consequently, the V6-V1 interval was longest during s-LBB capture (62.3 ± 21.4 ms), intermediate during ns-LBB capture (41.3 ± 14.0 ms), and shortest during LVS capture (26.5 ± 8.6 ms). The optimal value of the V6-V1 interval value for the differentiation between ns-LBB and LVS capture was 33 ms (area under the receiver operating characteristic curve of 84.7%). A specificity of 100% for the diagnosis of LBB capture was obtained with a cut-off value of >44 ms. Conclusion The V6-V1 interpeak interval is a promising novel criterion for the diagnosis of LBB area capture.read more
Citations
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Journal ArticleDOI
Left bundle branch area pacing outcomes: the multicentre European MELOS study
Marek Jastrzębski,Grzegorz Kiełbasa,Oscar Cano,Karol Curila,Luuk I.B. Heckman,Jan De Pooter,Milan Chovanec,Leonard M. Rademakers,Wim Huybrechts,Domenico Grieco,Zachary I. Whinnett,Stefan A.J. Timmer,Arif Elvan,Petr Stros,Paweł Moskal,Haran Burri,Francesco Zanon,Kevin Vernooy +17 more
TL;DR: Permanent transseptal left bundle branch area pacing is feasible as a primary pacing technique for both bradyarrhythmia and heart failure indications but success rate in heart failure patients and safety need to be improved.
Journal ArticleDOI
Electrophysiological characteristics of septal perforation during left bundle branch pacing.
TL;DR: In this article , the authors analyzed the morphology of intracardiac electrograms and unipolar pacing parameters to identify septal perforation in patients undergoing LBBP.
Journal ArticleDOI
EHRA clinical consensus statement on conduction system pacing implantation: endorsed by the Asia Pacific Heart Rhythm Society (APHRS), Canadian Heart Rhythm Society (CHRS), and Latin American Heart Rhythm Society (LAHRS)
Haran Burri,Marek Jastrzębski,Oscar Cano,Karol Curila,Jan De Pooter,Wenjiang Huang,Jacqueline Joza,Jorge E Romero,Kevin Vernooy,Pugazhendhi Vijayaraman,Zachary I. Whinnett,Francesco Zanon +11 more
TL;DR: In this paper , the authors provide a framework for physicians who wish to start CSP implantation, or who want to improve their technique, as well as a standardization of the procedure and to provide a guidance for physicians.
Journal ArticleDOI
Evaluation of Criteria for Left Bundle Branch Capture.
TL;DR: In this article , the authors reviewed electrocardiography-based and intracardiac electrogram-based criteria to confirm LBB capture and their overall accuracy and concluded that the criteria for differentiating LBBP from septal pacing has not been validated in large trials.
Journal ArticleDOI
The Electrophysiological Characteristics and Possible Mechanism of Bipolar Pacing in Left Bundle Branch Pacing.
TL;DR: In this article , the electrophysiological characteristics of bipolar pacing of left bundle branch pacing and to infer the mechanisms underlying each electrocardiogram and electrogram waveform morphology were assessed.
References
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Journal ArticleDOI
A beginner's guide to permanent left bundle branch pacing.
Journal ArticleDOI
Prospective evaluation of feasibility and electrophysiologic and echocardiographic characteristics of left bundle branch area pacing
Pugazhendhi Vijayaraman,Faiz A. Subzposh,Angela Naperkowski,Ragesh Panikkath,Kaitlyn John,Vernon Mascarenhas,Terry D. Bauch,Weijian Huang +7 more
TL;DR: HBP and LBBAP may significantly increase the overall success of physiologic pacing and be feasible in a high percentage of patients with low thresholds during acute follow-up.
Journal ArticleDOI
Physiology-based electrocardiographic criteria for left bundle branch capture
Marek Jastrzębski,Grzegorz Kiełbasa,Karol Curila,Paweł Moskal,Agnieszka Bednarek,Marek Rajzer,Pugazhendhi Vijayaraman +6 more
TL;DR: In this paper, the authors established electrocardiographic (ECG) criteria for LBB capture and showed equivalency of LV activation times on ECG during native and paced LBB conduction.
Journal ArticleDOI
Programmed deep septal stimulation: A novel maneuver for the diagnosis of left bundle branch capture during permanent pacing
Marek Jastrzębski,Paweł Moskal,Agnieszka Bednarek,Agnieszka Bednarek,Grzegorz Kiełbasa,Aleksander Kusiak,Aleksander Kusiak,Tomasz Sondej,Adam Bednarski,Pugazhendhi Vijayaraman,Danuta Czarnecka +10 more
TL;DR: Permanent deep septal stimulation with capture of the left bundle branch (LBB) enables maintenance/restoration of the physiological activation of theleft ventricle.
Journal ArticleDOI
Electrocardiographic Analysis for His Bundle Pacing at Implantation and Follow-Up.
TL;DR: This review provides the reader with practical guidance on how to best use and troubleshoot the 12-lead ECG for HBP in daily clinical practice.