Paced QRS morphology and outcomes

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Differential response to cardiac resynchronization therapy and clinical outcomes according to QRS morphology and QRS duration.

OBJECTIVES The goal of this study was to examine the relative impact of QRS morphology and duration in echocardiographic responses to cardiac resynchronization therapy (CRT) and clinical outcomes. BACKGROUND At least one-third of all patients treated with CRT fail to derive benefit. Patients without left bundle branch block (LBBB) or patients with smaller QRS duration (QRSd) respond less or n...

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Influence of Intrinsic Myocardial Conduction on Paced QRS Morphology During Cardiac Resynchronization Therapy Follow up

We report two cases of patients of cardiac resynchronization therapy (CRT) whose ECGs, during follow up, showed different paced QRS morphology as compared to those of immediate post-device implantation. Parameters of leads, including sensitivity and capture thresholds, were unchanged. There was no lead dislodgement confirmed on fluoroscopy. The ECGs obtained in device off mode showed different ...

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Differential Echocardiographic Response to Cardiac Resynchronization Therapy and Clinical Outcomes According to QRS Morphology and QRS Duration

Results A total of 496 patients were included in the study; 216 (43.5%) had LBBB and a QRSd 150 ms, 85 (17.1%) had LBBB and QRSd 150 ms, 92 (18.5%) had non-LBBB and a QRSd 150 ms, and 103 (20.8%) had nonLBBB and QRSd 150 ms. Echocardiographic response (change in ejection fraction) was better in patients with LBBB and QRSd 150 ms (12 12%) than in those with LBBB and QRSd 150 ms (8 10%), non-LBBB...

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Qrs Morphology Is Equally Important!

1. Galassi AR, Tomasello SD, Crea F, et al. Transient impairment of vasomotion function after successful chronic total occlusion recanalization. J Am Coll Cardiol 2012;59:711–8. 2. Galassi AR, Tomasello SD, Capodanno D, et al. A novel 3-d reconstruction system for the assessment of bifurcation lesions treated by the mini-crush technique. J Interv Cardiol 2010;46–53. 3. Mintz GS, Nissen SE, Ande...

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Optimizing the pacing site in the ventricular septum by fluoroscopy and morphology of the paced QRS complex.

AIMS To analyze the paced QRS duration in various septal positions of the right ventricular leads and with different paced QRS vectors. To use the results to assess parameters suggesting the optimal site for right ventricular pacing. METHODS AND RESULTS A total of 609 patients with leads implanted in the right ventricular septum were classified using fluoroscopy in the lateral view (the prima...

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ژورنال

عنوان ژورنال: Indian Pacing and Electrophysiology Journal

سال: 2019

ISSN: 0972-6292

DOI: 10.1016/j.ipej.2019.03.002