التفاصيل البيبلوغرافية
| العنوان: |
Ultra-High-Frequency ECG in Cardiac Pacing and Cardiac Resynchronization Therapy: From Technical Concept to Clinical Application |
| المؤلفون: |
Uyên Châu Nguyên, Jesse H. J. Rijks, Filip Plesinger, Leonard M. Rademakers, Justin Luermans, Karin C. Smits, Antonius M. W. van Stipdonk, Frits W. Prinzen, Kevin Vernooy, Josef Halamek, Karol Curila, Pavel Jurak |
| المصدر: |
Journal of Cardiovascular Development and Disease, Vol 11, Iss 3, p 76 (2024) |
| بيانات النشر: |
MDPI AG, 2024. |
| سنة النشر: |
2024 |
| المجموعة: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: |
cardiac resynchronization therapy, conduction system pacing, ultra-high frequency, electrocardiography, electrical dyssynchrony, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: |
Identifying electrical dyssynchrony is crucial for cardiac pacing and cardiac resynchronization therapy (CRT). The ultra-high-frequency electrocardiography (UHF-ECG) technique allows instantaneous dyssynchrony analyses with real-time visualization. This review explores the physiological background of higher frequencies in ventricular conduction and the translational evolution of UHF-ECG in cardiac pacing and CRT. Although high-frequency components were studied half a century ago, their exploration in the dyssynchrony context is rare. UHF-ECG records ECG signals from eight precordial leads over multiple beats in time. After initial conceptual studies, the implementation of an instant visualization of ventricular activation led to clinical implementation with minimal patient burden. UHF-ECG aids patient selection in biventricular CRT and evaluates ventricular activation during various forms of conduction system pacing (CSP). UHF-ECG ventricular electrical dyssynchrony has been associated with clinical outcomes in a large retrospective CRT cohort and has been used to study the electrophysiological differences between CSP methods, including His bundle pacing, left bundle branch (area) pacing, left ventricular septal pacing and conventional biventricular pacing. UHF-ECG can potentially be used to determine a tailored resynchronization approach (CRT through biventricular pacing or CSP) based on the electrical substrate (true LBBB vs. non-specified intraventricular conduction delay with more distal left ventricular conduction disease), for the optimization of CRT and holds promise beyond CRT for the risk stratification of ventricular arrhythmias. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2308-3425 |
| Relation: |
https://www.mdpi.com/2308-3425/11/3/76; https://doaj.org/toc/2308-3425 |
| DOI: |
10.3390/jcdd11030076 |
| URL الوصول: |
https://doaj.org/article/69038ecdcb5f45aaaf3393efd3937212 |
| رقم الانضمام: |
edsdoj.69038ecdcb5f45aaaf3393efd3937212 |
| قاعدة البيانات: |
Directory of Open Access Journals |
Full Text Finder