Hemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography

We compared the effects of right ventricular (RVP; <i>n</i> = 26) and His bundle (HBP; <i>n</i> = 24) pacing in patients with atrioventricular conduction disorders and preserved LVEF. Postoperatively (1D), and after six months (6M), the patients underwent global longitudinal...

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Autores principales:	Jedrzej Michalik, Alicja Dabrowska-Kugacka, Katarzyna Kosmalska, Roman Moroz, Adrian Kot, Ewa Lewicka, Marek Szolkiewicz
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	His bundle pacing ventricular synchrony 2D speckle-tracking echocardiography global longitudinal strain left atrial volume Medicine R
Acceso en línea:	https://doaj.org/article/f843133ca90e4a61a83258182cfc2c3c
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spelling	oai:doaj.org-article:f843133ca90e4a61a83258182cfc2c3c2021-11-11T16:47:34ZHemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography10.3390/ijerph1821117211660-46011661-7827https://doaj.org/article/f843133ca90e4a61a83258182cfc2c3c2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11721https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601We compared the effects of right ventricular (RVP; <i>n</i> = 26) and His bundle (HBP; <i>n</i> = 24) pacing in patients with atrioventricular conduction disorders and preserved LVEF. Postoperatively (1D), and after six months (6M), the patients underwent global longitudinal strain (GLS) and peak systolic dispersion (PSD) evaluation with 2D speckle-tracking echocardiography, assessment of left atrial volume index (LAVI) and QRS duration (QRSd), and sensing/pacing parameter testing. The RVP threshold was lower than the HBP threshold at 1D (0.65 ± 0.13 vs. 1.05 ± 0.20 V, <i>p</i> < 0.001), and then it remained stable, while the HBP threshold increased at 6M (1.05 ± 0.20 vs. 1.31 ± 0.30 V, <i>p</i> < 0.001). The RVP R-wave was higher than the HBP R-wave at 1D (11.52 ± 2.99 vs. 4.82 ± 1.41 mV, <i>p</i> < 0.001). The RVP R-wave also remained stable, while the HBP R-wave decreased at 6M (4.82 ± 1.41 vs. 4.50 ± 1.09 mV, <i>p</i> < 0.02). RVP QRSd was longer than HBP QRSd at 6M (145.0 ± 11.1 vs. 112.3 ± 9.3 ms, <i>p</i> < 0.001). The absolute value of RVP GLS decreased at 6M (16.32 ± 2.57 vs. 14.03 ± 3.78%, <i>p</i> < 0.001), and HBP GLS remained stable. Simultaneously, RVP PSD increased (72.53 ± 24.15 vs. 88.33 ± 30.51 ms, <i>p</i> < 0.001) and HBP PSD decreased (96.28 ± 33.99 vs. 84.95 ± 28.98 ms, <i>p</i> < 0.001) after 6 months. RVP LAVI increased (26.73 ± 5.7 vs. 28.40 ± 6.4 mL/m<sup>2</sup>, <i>p</i> < 0.05), while HBP LAVI decreased at 6M (30.03 ± 7.8 vs. 28.73 ± 8.7 mL/m<sup>2</sup>, <i>p</i> < 0.01). These results confirm that HBP does not disrupt ventricular synchrony and provides advantages over RVP.Jedrzej MichalikAlicja Dabrowska-KugackaKatarzyna KosmalskaRoman MorozAdrian KotEwa LewickaMarek SzolkiewiczMDPI AGarticleHis bundle pacingventricular synchrony2D speckle-tracking echocardiographyglobal longitudinal strainleft atrial volumeMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11721, p 11721 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	His bundle pacing ventricular synchrony 2D speckle-tracking echocardiography global longitudinal strain left atrial volume Medicine R
spellingShingle	His bundle pacing ventricular synchrony 2D speckle-tracking echocardiography global longitudinal strain left atrial volume Medicine R Jedrzej Michalik Alicja Dabrowska-Kugacka Katarzyna Kosmalska Roman Moroz Adrian Kot Ewa Lewicka Marek Szolkiewicz Hemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography
description	We compared the effects of right ventricular (RVP; <i>n</i> = 26) and His bundle (HBP; <i>n</i> = 24) pacing in patients with atrioventricular conduction disorders and preserved LVEF. Postoperatively (1D), and after six months (6M), the patients underwent global longitudinal strain (GLS) and peak systolic dispersion (PSD) evaluation with 2D speckle-tracking echocardiography, assessment of left atrial volume index (LAVI) and QRS duration (QRSd), and sensing/pacing parameter testing. The RVP threshold was lower than the HBP threshold at 1D (0.65 ± 0.13 vs. 1.05 ± 0.20 V, <i>p</i> < 0.001), and then it remained stable, while the HBP threshold increased at 6M (1.05 ± 0.20 vs. 1.31 ± 0.30 V, <i>p</i> < 0.001). The RVP R-wave was higher than the HBP R-wave at 1D (11.52 ± 2.99 vs. 4.82 ± 1.41 mV, <i>p</i> < 0.001). The RVP R-wave also remained stable, while the HBP R-wave decreased at 6M (4.82 ± 1.41 vs. 4.50 ± 1.09 mV, <i>p</i> < 0.02). RVP QRSd was longer than HBP QRSd at 6M (145.0 ± 11.1 vs. 112.3 ± 9.3 ms, <i>p</i> < 0.001). The absolute value of RVP GLS decreased at 6M (16.32 ± 2.57 vs. 14.03 ± 3.78%, <i>p</i> < 0.001), and HBP GLS remained stable. Simultaneously, RVP PSD increased (72.53 ± 24.15 vs. 88.33 ± 30.51 ms, <i>p</i> < 0.001) and HBP PSD decreased (96.28 ± 33.99 vs. 84.95 ± 28.98 ms, <i>p</i> < 0.001) after 6 months. RVP LAVI increased (26.73 ± 5.7 vs. 28.40 ± 6.4 mL/m<sup>2</sup>, <i>p</i> < 0.05), while HBP LAVI decreased at 6M (30.03 ± 7.8 vs. 28.73 ± 8.7 mL/m<sup>2</sup>, <i>p</i> < 0.01). These results confirm that HBP does not disrupt ventricular synchrony and provides advantages over RVP.
format	article
author	Jedrzej Michalik Alicja Dabrowska-Kugacka Katarzyna Kosmalska Roman Moroz Adrian Kot Ewa Lewicka Marek Szolkiewicz
author_facet	Jedrzej Michalik Alicja Dabrowska-Kugacka Katarzyna Kosmalska Roman Moroz Adrian Kot Ewa Lewicka Marek Szolkiewicz
author_sort	Jedrzej Michalik
title	Hemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography
title_short	Hemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography
title_full	Hemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography
title_fullStr	Hemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography
title_full_unstemmed	Hemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography
title_sort	hemodynamic effects of permanent his bundle pacing compared to right ventricular pacing assessed by two-dimensional speckle-tracking echocardiography
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f843133ca90e4a61a83258182cfc2c3c
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Hemodynamic Effects of Permanent His Bundle Pacing Compared to Right Ventricular Pacing Assessed by Two-Dimensional Speckle-Tracking Echocardiography

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