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@article{1107792,
author = {Kamenik, Libor and Sedlon, Pavel and Hnatek, Tomas and Krcova, Eva and Jarkovský, Jiří and Littnerová, Simona and Táborský, Miloš},
article_location = {Olomouc},
article_number = {1},
doi = {http://dx.doi.org/10.5507/bp.2011.063},
keywords = {pacing; paced QRS duration; vector of paced QRS; pacing site optimization},
language = {eng},
issn = {1213-8118},
journal = {Biomedical Papers of the Faculty of Medicine of Palacký University},
title = {Optimizing the pacing site in the ventricular septum by fluoroscopy and morphology of the paced QRS complex},
volume = {157},
year = {2013}
}
TY - JOUR
ID - 1107792
AU - Kamenik, Libor - Sedlon, Pavel - Hnatek, Tomas - Krcova, Eva - Jarkovský, Jiří - Littnerová, Simona - Táborský, Miloš
PY - 2013
TI - Optimizing the pacing site in the ventricular septum by fluoroscopy and morphology of the paced QRS complex
JF - Biomedical Papers of the Faculty of Medicine of Palacký University
VL - 157
IS - 1
SP - 56-63
EP - 56-63
PB - Palacký University
SN - 12138118
KW - pacing
KW - paced QRS duration
KW - vector of paced QRS
KW - pacing site optimization
N2 - 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 primary pacing site), and in the anteroposterior view (the secondary pacing site), according to the QRS vector in leads I and III. Significantly shortened paced QRS was found in the primary pacing site with the true septal compared with the anteroseptal site, with the vector being negative or isoelectric in lead I plus positive in lead III. In secondary pacing sites, no significant difference in pacing QRS duration was found between RVOT-HS, RVOT-LS, mid-septum and inferior-septum. Conclusions. For optimization of the pacing site in the ventricular septum, the following are significant: the primary site based on the lateral view, and the paced QRS vector in leads I and III.
ER -
KAMENIK, Libor, Pavel SEDLON, Tomas HNATEK, Eva KRCOVA, Jiří JARKOVSKÝ, Simona LITTNEROVÁ a Miloš TÁBORSKÝ. Optimizing the pacing site in the ventricular septum by fluoroscopy and morphology of the paced QRS complex. \textit{Biomedical Papers of the Faculty of Medicine of Palacký University}. Olomouc: Palacký University, 2013, roč.~157, č.~1, s.~56-63. ISSN~1213-8118. doi:10.5507/bp.2011.063.
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