Capture threshold of bipolar and unipolar pacing of left ventricle via coronary sinus branch: longitudinal study.

battery longevity pacing capture threshold energy pacing polarity quadripolar lead resynchronisation therapy steroid eluting lead

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2023
Historique:
received: 12 11 2022
accepted: 18 04 2023
medline: 8 6 2023
pubmed: 8 6 2023
entrez: 8 6 2023
Statut: epublish

Résumé

The aim of this paper is to first monitor the changes in the capture threshold of endovascularly placed leads for left ventricle pacing, second to compare the pacing configurations, and third to verify the effect of Steroid elution for endovascular leads. The study included 202 consecutive single centre patients implanted with the Quartet™ lead (St. Jude Medical). The capture threshold and related lead parameters were tested during implantation, on the day of the patient's discharge, and 3, 9, and 15 months after implantation. The electrical energy corresponding to the threshold values for inducing ventricular contraction was recorded for subgroups of patients with bipolar and pseudo-unipolar pacing vectors and electrodes equipped with and without a slow-eluting steroids. The best setting for the resynchronization effect was generally chosen. Capture threshold was taken as a selection criterion only if there were multiple options with (expected) similar resynchronization effect. The measurements showed that the ratio of threshold energies of UNI vs. BI was 5× higher (

Identifiants

pubmed: 37288262
doi: 10.3389/fcvm.2023.1096538
pmc: PMC10242161
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1096538

Informations de copyright

© 2023 Stritecky, Kremlacek, Hanus, Haman, Stritecka, Simka and Parizek.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Jakub Stritecky (J)

Department of Medical Biophysics, Faculty of Medicine in Hradec Kralove, Charles University, Hradec Králové, Czech Republic.
1st Department of Internal Medicine - Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.

Jan Kremlacek (J)

Department of Medical Biophysics, Faculty of Medicine in Hradec Kralove, Charles University, Hradec Králové, Czech Republic.

Josef Hanus (J)

Department of Medical Biophysics, Faculty of Medicine in Hradec Kralove, Charles University, Hradec Králové, Czech Republic.

Ludek Haman (L)

1st Department of Internal Medicine - Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.

Hana Stritecka (H)

Department of Military Internal Medicine and Military Hygiene, Faculty of Health Sciences, University of Defence, Hradec Králové, Czech Republic.

Jakub Simka (J)

1st Department of Internal Medicine - Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.

Petr Parizek (P)

1st Department of Internal Medicine - Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.

Classifications MeSH