New Method of Cardiac Lead Evaluation Using Chest Radiography
<i>Background and Objectives</i>: There is currently no method that can be used for a precise evaluation of pacemaker leads using X-ray images, which could be a valuable add-on in the follow-up of patients. The aim of this paper was to create a simple method to measure selected points an...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/2/222 |
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| author | Rafal Mlynarski Sebastian Glowoc Agnieszka Mlynarska Krzysztof Golba |
| author_facet | Rafal Mlynarski Sebastian Glowoc Agnieszka Mlynarska Krzysztof Golba |
| author_sort | Rafal Mlynarski |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: There is currently no method that can be used for a precise evaluation of pacemaker leads using X-ray images, which could be a valuable add-on in the follow-up of patients. The aim of this paper was to create a simple method to measure selected points and lines using the chest radiography of patients with cardiac pacemakers. <i>Materials and Methods</i>: The study included 99 patients after permanent pacemaker implantation (72.0 ± 12.9 y; 58 W). The newly created method was used to evaluate the course of the leads based on an X-ray of the chest in an AP (posterior–anterior) projection (standing up) with optimization. The chest X-ray was applied to the original measurement grid, which was determined by specific anatomical points. For the purpose of this paper, a number of measurable parameters have been proposed. <i>Results</i>: The technical quality of the images was very good (4.50 ± 0.72). There were no gender-specific differences: women 4.46 ± 0.75/men 4.56 ± 0.67; <i>p</i> = 0.5183. The quality of the imaging of the leads was also good (3.72 ± 0.83), and no statistical differences were found between the genders. After verifying the technical quality of the X-ray images, the tract of the leads was measured. The only significant difference was found in parameter E—this value describing the so-called “death bend”, which was significantly lower in women (3.98 ± 1.35) vs. men (4.58 ± 1.49): <i>p</i> = 0.039. <i>Conclusions</i>: The presented method permitted the leads of a cardiac pacemaker to be precisely described with good clinical validity using chest radiography. |
| first_indexed | 2024-03-09T21:29:37Z |
| format | Article |
| id | doaj.art-875a09c54ad2420bae60a26b00976666 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T21:29:37Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-875a09c54ad2420bae60a26b009766662023-11-23T20:59:56ZengMDPI AGMedicina1010-660X1648-91442022-02-0158222210.3390/medicina58020222New Method of Cardiac Lead Evaluation Using Chest RadiographyRafal Mlynarski0Sebastian Glowoc1Agnieszka Mlynarska2Krzysztof Golba3Department of Electroradiology, School of Health Sciences, Medical University of Silesia, 40-635 Katowice, PolandDepartment of Electrocardiology, Upper Silesian Medical Centre, 40-635 Katowice, PolandDepartment of Electrocardiology, Upper Silesian Medical Centre, 40-635 Katowice, PolandDepartment of Electrocardiology, Upper Silesian Medical Centre, 40-635 Katowice, Poland<i>Background and Objectives</i>: There is currently no method that can be used for a precise evaluation of pacemaker leads using X-ray images, which could be a valuable add-on in the follow-up of patients. The aim of this paper was to create a simple method to measure selected points and lines using the chest radiography of patients with cardiac pacemakers. <i>Materials and Methods</i>: The study included 99 patients after permanent pacemaker implantation (72.0 ± 12.9 y; 58 W). The newly created method was used to evaluate the course of the leads based on an X-ray of the chest in an AP (posterior–anterior) projection (standing up) with optimization. The chest X-ray was applied to the original measurement grid, which was determined by specific anatomical points. For the purpose of this paper, a number of measurable parameters have been proposed. <i>Results</i>: The technical quality of the images was very good (4.50 ± 0.72). There were no gender-specific differences: women 4.46 ± 0.75/men 4.56 ± 0.67; <i>p</i> = 0.5183. The quality of the imaging of the leads was also good (3.72 ± 0.83), and no statistical differences were found between the genders. After verifying the technical quality of the X-ray images, the tract of the leads was measured. The only significant difference was found in parameter E—this value describing the so-called “death bend”, which was significantly lower in women (3.98 ± 1.35) vs. men (4.58 ± 1.49): <i>p</i> = 0.039. <i>Conclusions</i>: The presented method permitted the leads of a cardiac pacemaker to be precisely described with good clinical validity using chest radiography.https://www.mdpi.com/1648-9144/58/2/222X-ray imagechest radiographycardiac pacemakercomplications |
| spellingShingle | Rafal Mlynarski Sebastian Glowoc Agnieszka Mlynarska Krzysztof Golba New Method of Cardiac Lead Evaluation Using Chest Radiography Medicina X-ray image chest radiography cardiac pacemaker complications |
| title | New Method of Cardiac Lead Evaluation Using Chest Radiography |
| title_full | New Method of Cardiac Lead Evaluation Using Chest Radiography |
| title_fullStr | New Method of Cardiac Lead Evaluation Using Chest Radiography |
| title_full_unstemmed | New Method of Cardiac Lead Evaluation Using Chest Radiography |
| title_short | New Method of Cardiac Lead Evaluation Using Chest Radiography |
| title_sort | new method of cardiac lead evaluation using chest radiography |
| topic | X-ray image chest radiography cardiac pacemaker complications |
| url | https://www.mdpi.com/1648-9144/58/2/222 |
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