The Use of Epicardial Electrogram as a Simple Guide to Select the Optimal Site of Left Ventricular Pacing in Cardiac Resynchronization Therapy

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The Use of Epicardial Electrogram as a Simple Guide to Select the Optimal Site of Left Ventricular Pacing in Cardiac Resynchronization Therapy

Cardiac resynchronization therapy (CRT) has been demonstrated to improve symptoms and survival in patients with left ventricular (LV) systolic dysfunction and dyssynchrony. To achieve this goal, the LV lead should be positioned in a region of delayed contraction. We hypothesized that pacing at the site of late electrical activation was also associated with long-term response to CRT. We conducte...

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Comprehensive use of cardiac computed tomography to guide left ventricular lead placement in cardiac resynchronization therapy

BACKGROUND Optimal lead positioning is an important determinant of cardiac resynchronization therapy (CRT) response. OBJECTIVE The purpose of this study was to evaluate cardiac computed tomography (CT) selection of the optimal epicardial vein for left ventricular (LV) lead placement by targeting regions of late mechanical activation and avoiding myocardial scar. METHODS Eighteen patients un...

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ژورنال

عنوان ژورنال: Cardiology Research and Practice

سال: 2011

ISSN: 2090-0597

DOI: 10.4061/2011/956062