The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing

Q3 Medicine
Amato Santoro , Maria Barilli , Carmine Marallo , Claudia Baiocchi
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引用次数: 0

Abstract

Evaluation of conduction intervals to predict success of resynchronization in biventricular pacing(BiVP) or Conduction System Pacing(CSP) is not spread in clinical practice. A right ventricle-to-left ventricle intrinsic conduction interval (RVs–LVs) > 70 ms or prolonged RVpaced – LVs(RVp-LVs)interval can predict Cardiac Resynchronization Therapy (CRT)response.This paper describes a case of cardiac resynchronization guided by spontaneous and paced interventricular conduction delays (IVCD) obtained in BiVP that led to changing intraoperative approach. A strategy for cardiac resynchronization based on the CSP/BiVP approach according to the IVCD could represent a viable and reliable solution to obtain a narrow paced QRS and to improve the CRT response.

室间传导延迟指导最佳心脏再同步化治疗:通过传导系统起搏进行CRT的量身定制患者方法。
评估传导间隔以预测双心室起搏(BiVP)或传导系统起搏(CSP)再同步成功的方法尚未在临床实践中推广。右心室至左心室内传导间期(rvs - lv) > 70 ms或延长rvp - lv间期可以预测心脏再同步化治疗(CRT)的反应。本文描述了一例在BiVP中获得的自发性和有节奏的室间传导延迟(IVCD)引导下的心脏再同步化,导致术中入路的改变。根据IVCD,基于CSP/BiVP方法的心脏再同步化策略可能是获得窄节奏QRS和改善CRT反应的可行可靠的解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Indian Pacing and Electrophysiology Journal
Indian Pacing and Electrophysiology Journal Medicine-Cardiology and Cardiovascular Medicine
CiteScore
2.20
自引率
0.00%
发文量
91
审稿时长
61 days
期刊介绍: Indian Pacing and Electrophysiology Journal is a peer reviewed online journal devoted to cardiac pacing and electrophysiology. Editorial Advisory Board includes eminent personalities in the field of cardiac pacing and electrophysiology from Asia, Australia, Europe and North America.
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