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Mehta OH, Van Zyl M. Para-Hisian pacing: Beware what you capture. J Cardiovasc Electrophysiol 2024; 35:362-365. [PMID: 38178321 DOI: 10.1111/jce.16163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Revised: 12/06/2023] [Accepted: 12/11/2023] [Indexed: 01/06/2024]
Affiliation(s)
- Ojas H Mehta
- Department of Cardiac Electrophysiology, Royal Jubilee Hospital, Vancouver Island Health Authority, British Columbia, Canada
| | - Martin Van Zyl
- Department of Cardiac Electrophysiology, Royal Jubilee Hospital, Vancouver Island Health Authority, British Columbia, Canada
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2
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Park JW, Choi Y, Kim SH, Oh YS. A supraventricular tachycardia and the response to parahisian pacing: What is the mechanism? Heart Rhythm 2023; 20:770-772. [PMID: 36690197 DOI: 10.1016/j.hrthm.2023.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 01/15/2023] [Accepted: 01/17/2023] [Indexed: 01/22/2023]
Affiliation(s)
- Jeong-Wook Park
- Division of Cardiology, Department of Internal Medicine, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea
| | - Young Choi
- Division of Cardiology, Department of Internal Medicine, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
| | - Sung-Hwan Kim
- Division of Cardiology, Department of Internal Medicine, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea
| | - Yong-Seog Oh
- Division of Cardiology, Department of Internal Medicine, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea
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Sudo K, Asakawa T, Abe M, Nakagawa K, Kuroki K, Sato A. A novel diagnostic technique in para-Hisian pacing under rapid adenosine triphosphate injection: A rare case of septal accessory pathway in a coronary sinus diverticulum. HeartRhythm Case Rep 2022; 8:786-789. [PMID: 36618599 PMCID: PMC9811008 DOI: 10.1016/j.hrcr.2022.08.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Affiliation(s)
- Koji Sudo
- Department of Cardiovascular Medicine, University of Yamanashi, Yamanashi, Japan,Address reprint requests and correspondence: Dr Koji Sudo, Department of Cardiovascular Medicine, University of Yamanashi, Shimokato 1110, Chuo, Yamanashi, 409-3898, Japan.
| | - Tetsuya Asakawa
- Department of Cardiology, Yamanashi Kosei Hospital, Yamanashi, Japan
| | - Moeko Abe
- Department of Cardiovascular Medicine, University of Yamanashi, Yamanashi, Japan
| | - Kazuya Nakagawa
- Department of Cardiology, Yamanashi Kosei Hospital, Yamanashi, Japan
| | - Kenji Kuroki
- Department of Cardiovascular Medicine, University of Yamanashi, Yamanashi, Japan
| | - Akira Sato
- Department of Cardiovascular Medicine, University of Yamanashi, Yamanashi, Japan
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Melki L, Tourni M, Wang DY, Weber R, Wan EY, Konofagou EE. A new Electromechanical Wave Imaging dispersion metric for the characterization of ventricular activation in different Cardiac Resynchronization Therapy pacing schemes. IEEE Trans Biomed Eng 2022; 70:853-859. [PMID: 36049009 PMCID: PMC9975111 DOI: 10.1109/tbme.2022.3203653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Conventional biventricular (BiV) pacing cardiac resynchronization therapy (CRT) is an established treatment for heart failure patients. Recently, multiple novel CRT delivering technologies such as His-Bundle pacing have been investigated as alternative pacing strategies for optimal treatment benefit. Electromechanical Wave Imaging (EWI), a high frame-rate echocardiography-based modality, is capable of visualizing the change from dyssynchronous activation to resynchronized BiV-paced ventricles in 3D. This proof-of-concept study introduces a new EWI-based dispersion metric to further characterize ventricular activation. Patients with His-Bundle device implantation (n=4), left-bundle branch block (n=10), right-ventricular (RV) pacing (n=10), or BiV pacing (n=15) were imaged, as well as four volunteers in normal sinus rhythm (NSR). EWI successfully mapped the ventricular activation resulting from His-Bundle pacing. Additionally, very similar activation patterns were obtained in the NSR subjects, confirming recovery of physiological activation with His pacing. The dispersion metric was the most sensitive EWI-based metric that identified His pacing as the most efficient treatment (lowest activation time spread), followed by BiV and RV pacing. More specifically, the dispersion metric significantly (p 0.005) distinguished His pacing from the other two pacing schemes as well as LBBB. The initial findings presented herein indicate that EWI and its new dispersion metric may provide a useful resynchronization evaluation clinical tool in CRT patients under both novel His-Bundle pacing and more conventional BiV pacing strategies.
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Affiliation(s)
| | | | - Daniel Y. Wang
- Department of Medicine, Division of Cardiology, Columbia University
| | - Rachel Weber
- Department of Biomedical Engineering, Columbia University
| | - Elaine Y. Wan
- Department of Medicine, Division of Cardiology, Columbia University
| | - Elisa E. Konofagou
- Biomedical Engineering and Radiology Departments, Columbia University, New York, NY 10032 USA
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Co ML, Ho RT. Para-Hisian Pacing in a Patient With a Long RP Tachycardia - What is the Mechanism? Heart Rhythm 2022; 19:1747-1750. [PMID: 35700908 DOI: 10.1016/j.hrthm.2022.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Revised: 06/07/2022] [Accepted: 06/07/2022] [Indexed: 11/25/2022]
Affiliation(s)
- Michael L Co
- Department of Medicine, Division of Cardiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
| | - Reginald T Ho
- Department of Medicine, Division of Cardiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
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Ali H, De Ambroggi G, Lupo P, Foresti S, De Lucia C, Turturiello D, Paganini EM, Cappato R. Recurrent unsustained long RP tachycardia: What is the mechanism? J Cardiovasc Electrophysiol 2021; 32:1195-1198. [PMID: 33600030 DOI: 10.1111/jce.14956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 02/08/2021] [Accepted: 02/13/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Hussam Ali
- Arrhythmia and Electrophysiology Center, IRCCS MultiMedica Group, Milan, Italy
| | - Guido De Ambroggi
- Arrhythmia and Electrophysiology Center, IRCCS MultiMedica Group, Milan, Italy
| | - Pierpaolo Lupo
- Arrhythmia and Electrophysiology Center, IRCCS MultiMedica Group, Milan, Italy
| | - Sara Foresti
- Arrhythmia and Electrophysiology Center, IRCCS MultiMedica Group, Milan, Italy
| | - Carmine De Lucia
- Arrhythmia and Electrophysiology Center, IRCCS MultiMedica Group, Milan, Italy
| | - Dario Turturiello
- Arrhythmia and Electrophysiology Center, IRCCS MultiMedica Group, Milan, Italy
| | | | - Riccardo Cappato
- Arrhythmia and Electrophysiology Center, IRCCS MultiMedica Group, Milan, Italy
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Korkmaz A, Cimen T, Kara M, Deveci B, Lutfu Sertdemir A, Ozeke O, Cay S, Ozcan F, Topaloglu S, Aras D. A dual nodal response to the parahisian pacing and induction of the retrograde right bundle branch block maneuvers. J Arrhythm 2021; 37:266-268. [PMID: 33664918 PMCID: PMC7896456 DOI: 10.1002/joa3.12474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 11/17/2020] [Accepted: 11/19/2020] [Indexed: 11/22/2022] Open
Abstract
We presented intracardiac electrograms during the parahisian pacing, which represent three types of retrograde conduction and focus on the mechanism of types of retrograde conduction on wide QRS complexes and conclude that the two types of QRS of the retrograde conduction resulted from the presence or absence of retrograde block at the right bundle branch.
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Affiliation(s)
- Ahmet Korkmaz
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
| | - Tolga Cimen
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
- Department of CardiologyDışkapı Yıldırım Beyazıt Training and Research HospitalUniversity of Health SciencesAnkaraTurkey
| | - Meryem Kara
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
| | - Bulent Deveci
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
| | - Ahmet Lutfu Sertdemir
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
- Department of CardiologyNecmettin Erbakan University Meram Medical FacultyKonyaTurkey
| | - Ozcan Ozeke
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
| | - Serkan Cay
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
| | - Firat Ozcan
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
| | - Serkan Topaloglu
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
| | - Dursun Aras
- Department of CardiologyAnkara City HospitalUniversity of Health SciencesAnkaraTurkey
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Kara M, Korkmaz A, Karimli E, Rencuzogullari I, Ozeke O, Cay S, Ozcan F, Topaloglu S, Aras D. An unexpected ventriculoatrial block during the parahisian pacing maneuver and the retrograde gap phenomenon. J Cardiovasc Electrophysiol 2020; 31:550-551. [PMID: 31922302 DOI: 10.1111/jce.14334] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Revised: 12/26/2019] [Accepted: 12/26/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Meryem Kara
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Ahmet Korkmaz
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Emin Karimli
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Ibrahim Rencuzogullari
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey.,Department of Cardiology, Kafkas University, Kars, Turkey
| | - Ozcan Ozeke
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Serkan Cay
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Firat Ozcan
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Serkan Topaloglu
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Dursun Aras
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
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