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

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)inte...

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Main Authors: Amato Santoro, Maria Barilli, Carmine Marallo, Claudia Baiocchi
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629223001249
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author Amato Santoro
Maria Barilli
Carmine Marallo
Claudia Baiocchi
author_facet Amato Santoro
Maria Barilli
Carmine Marallo
Claudia Baiocchi
author_sort Amato Santoro
collection DOAJ
description 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.
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spelling doaj.art-3995e884a6e844698882cfd1a281dfa32024-03-02T04:53:37ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922024-01-012414244The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System PacingAmato Santoro0Maria Barilli1Carmine Marallo2Claudia Baiocchi3Division of Cardiology, Azienda Ospedaliera Universitaria Senese, Siena, Italy; Corresponding author. Cardiologia Clinico-Chirurgica, Azienda Ospedaliera Universitaria Senese, viale Bracci 1, Siena. 53100 Italy.Division of Cardiology, University of Siena, Siena, ItalyDivision of Cardiology, University of Siena, Siena, ItalyDivision of Cardiology, Azienda Ospedaliera Universitaria Senese, Siena, ItalyEvaluation 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.http://www.sciencedirect.com/science/article/pii/S0972629223001249Cardiac resynchronization therapyHis bundle pacingLeft bundle branch pacingInterventricular delaysConduction system pacing
spellingShingle Amato Santoro
Maria Barilli
Carmine Marallo
Claudia Baiocchi
The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing
Indian Pacing and Electrophysiology Journal
Cardiac resynchronization therapy
His bundle pacing
Left bundle branch pacing
Interventricular delays
Conduction system pacing
title The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing
title_full The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing
title_fullStr The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing
title_full_unstemmed The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing
title_short The interventricular conduction delays guide best cardiac resynchronization therapy: A tailored-patient approach to perform a CRT through Conduction System Pacing
title_sort interventricular conduction delays guide best cardiac resynchronization therapy a tailored patient approach to perform a crt through conduction system pacing
topic Cardiac resynchronization therapy
His bundle pacing
Left bundle branch pacing
Interventricular delays
Conduction system pacing
url http://www.sciencedirect.com/science/article/pii/S0972629223001249
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