POSPÍŠIL, David, Tomáš NOVOTNÝ, Jiří JARKOVSKÝ, Barbora FARKASOVÁ, Milan KOZÁK, Lubomír KŘIVAN, Jitka VLAŠÍNOVÁ, Petr KALA and Milan SEPŠI. Differences in right-to-left vs left-to-right interventricular conduction times in patients indicated to cardiac resynchronization therapy. PLoS One. San Francisco: Public Library Science, 2020, vol. 15, No 2, p. 1-8. ISSN 1932-6203. Available from: https://dx.doi.org/10.1371/journal.pone.0228731.
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Basic information
Original name Differences in right-to-left vs left-to-right interventricular conduction times in patients indicated to cardiac resynchronization therapy
Authors POSPÍŠIL, David (203 Czech Republic, guarantor, belonging to the institution), Tomáš NOVOTNÝ (203 Czech Republic, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Barbora FARKASOVÁ (203 Czech Republic, belonging to the institution), Milan KOZÁK (203 Czech Republic, belonging to the institution), Lubomír KŘIVAN (203 Czech Republic, belonging to the institution), Jitka VLAŠÍNOVÁ (203 Czech Republic, belonging to the institution), Petr KALA (203 Czech Republic, belonging to the institution) and Milan SEPŠI (203 Czech Republic, belonging to the institution).
Edition PLoS One, San Francisco, Public Library Science, 2020, 1932-6203.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.240
RIV identification code RIV/00216224:14110/20:00115393
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1371/journal.pone.0228731
UT WoS 000535220600026
Keywords in English ELECTRICAL DELAY; HEART-FAILURE
Tags 14110211, 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 8/2/2021 15:11.
Abstract
Introduction Differences in conduction times from right ventricle to left ventricle and from left ventricle to right ventricle respectively were observed during biventricular devices implantation when changing pacing vector direction. In this article the phenomenon of interventricular conduction time differences is described and assessed in relationship to various clinical and electrophysiological parameters. Methods In 62 consecutive patients (9 females) interventricular conduction times between right and left ventricle in both directions were measured during cardiac resynchronization therapy device implantation procedure. Complex pacing protocol was performed. Results Investigated individuals was divided into 3 subgroups according to type of interventricular conduction pattern and statistically tested with various clinical data. Substantial differences in right-to-left vs left-to-right conduction times (> 5 ms, range 7-72 ms) were observed in 24 (39%) of all patients. They were more common in patients with dilated cardiomyopathy (20 of 38, 53%) compared to 4 (17%) of 24 patients with coronary artery disease (p = 0.011). The phenomenon occurred more often in hypertensive patients (p = 0.012). Other tested factors were nonsignificant. Conclusions There are almost no data on this topic. The occurrence of conduction difference phenomenon is quite common in dilated cardiomyopathy while it is rare in coronary artery disease. We assume the diffuse nature of the disease and the way of remodeling of myocardium play the main role. Knowledge of this phenomenon could be useful in personalized cardiac resynchronization therapy optimization.
Links
LM2018128, research and development projectName: Český národní uzel Evropské sítě infrastruktur klinického výzkumu (Acronym: CZECRIN)
Investor: Ministry of Education, Youth and Sports of the CR
MUNI/A/1446/2019, interní kód MUName: Nevyřešené otázky a nové metody hodnocení elektrokardiografického signálu (Acronym: ECG2020)
Investor: Masaryk University, Category A
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