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Tailoring device settings in cardiac resynchronization therapy using electrograms from pacing electrodes
Author(s) -
Elien B. Engels,
Masih Mafi-Rad,
B J M Hermans,
Alfonso Aranda,
Antonius van Stipdonk,
Michiel Rienstra,
Coert O S Scheerder,
Alexander H. Maass,
Frits W. Prinzen,
Kevin Vernooy
Publication year - 2017
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eux208
Subject(s) - medicine , cardiac resynchronization therapy , cardiac pacing , cardiology , electrode , heart failure , ejection fraction , chemistry
Left ventricular (LV) fusion pacing appears to be at least as beneficial as biventricular pacing in cardiac resynchronization therapy (CRT). Optimal LV fusion pacing critically requires adjusting the atrioventricular (AV)-delay to the delay between atrial pacing and intrinsic right ventricular (RV) activation (Ap-RV). We explored the use of electrogram (EGM)-based vectorloop (EGMV) derived from EGMs of implanted pacing leads to achieve optimal LV fusion pacing and to compare it with conventional approaches.

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