Long‐Term Follow‐Up of Left Bundle Branch Area Pacing in Pacing‐Dependent Patients and Normal Cardiac Function.
Introduction: Left bundle branch area pacing (LBBAP) has emerged as a novel physiological pacing strategy. The purpose of this study was to evaluate the long‐term effect of LBBAP in ventricular pacing‐dependent patients and baseline normal cardiac function. Methods: This retrospective observational...
| Publicado en: | Pacing & Clinical Electrophysiology Vol. 48; no. 5; pp. 480 - 488 |
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| Autores principales: | , , , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185068517&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185068517 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01478389 4F8 jtl: Pacing & Clinical Electrophysiology issn: 01478389 maglogo: Y pubinfo: dt: May2025 vid: 48 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 185068517 184593242 185068517 185068517 10.1111/pace.15188 185068517 ppf: 480 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Long‐Term Follow‐Up of Left Bundle Branch Area Pacing in Pacing‐Dependent Patients and Normal Cardiac Function. aug: au: Yao, Yunjie Sun, Minmin Sheng, Yufeng Xu, Chunming Ren, Chen Song, Aiping Gu, Jiaqun Li, Kebei affil: Department of Cardiology, The Affiliated Zhangjiagang Hospital of Soochow University, Zhangjiagang Jiangsu, , China sug: subj: Cardiac Pacing, Artificial Bundle-Branch Block Surgery After Care Heart Physiology Heart Conduction System Treatment Outcomes Evaluation Human Retrospective Design Nonexperimental Studies Electrophysiology Echocardiography QRS Complex Descriptive Statistics Bradycardia Symptoms Ventricular Ejection Fraction ab: Introduction: Left bundle branch area pacing (LBBAP) has emerged as a novel physiological pacing strategy. The purpose of this study was to evaluate the long‐term effect of LBBAP in ventricular pacing‐dependent patients and baseline normal cardiac function. Methods: This retrospective observational study included patients who underwent LBBAP or RVP for bradycardia indications between January 2018 and July 2021. Baseline characteristics and electrophysiological, pacing and echocardiographic data were collected. Results: Sixty patients with VP% ≥ 40% were enrolled, including 30 patients in the LBBAP group and 30 patients in the RVP group. The mean follow‐up time was 53.03 ± 8.10 months in the LBBAP group and 51.87 ± 11.68 months in the RVP group. No ventricular septum perforation was observed during the procedure or follow‐up. The R‐wave amplitudes did not differ between the two groups at implantation, but the R‐wave amplitude in the LBBAP group at last follow‐up was higher than that in the RVP group (17.67 ± 7.50 mV vs. 12.38 ± 5.36 mV, p = 0.003). Paced QRS duration in the LBBAP group was significantly shorter than that in the RVP group (138.93 ± 15.36 ms vs. 164.30 ± 19.48 ms, p < 0.0001). The LBBAP group had a higher LVEF (64.81 ± 5.49 vs. 60.44 ± 9.28, p = 0.041) and lower LVESD (29.70 ± 4.59 mm vs. 32.03 ± 3.97 mm, p = 0.039) than the RVP group at last follow‐up. Conclusion: This study found LBBAP electrodes had a stable anatomic position, better pacing parameters, and better maintaining cardiac performances than RVP in patients with normal cardiac function and bradyarrhythmia indications. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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