Advances in Physiological Cardiac Stimulation

Authors

  • Gustavo Galli Reis Eletrofisiologia Cardíaca Londrina – Londrina (PR), Brazil. https://orcid.org/0000-0002-8524-3401
  • Andres Di Leoni Ferrari Pontifícia Universidade Católica do Rio Grande do Sul – Hospital São Lucas – Porto Alegre (RS), Brazil. https://orcid.org/0000-0001-8975-7912
  • Gustavo Chiari Cabral Pontifícia Universidade Católica do Rio Grande do Sul – Hospital São Lucas – Porto Alegre (RS), Brazil.. https://orcid.org/0000-0002-7992-8834
  • Guilherme Ferreira Gazzoni Pontifícia Universidade Católica do Rio Grande do Sul – Hospital São Lucas – Porto Alegre (RS), Brazil. https://orcid.org/0000-0001-5019-2475
  • Luis Manuel Ley Pontifícia Universidade Católica do Rio Grande do Sul – Hospital São Lucas – Porto Alegre (RS), Brazil. https://orcid.org/0000-0001-9640-6862
  • Jessica Caroline Feltrin Willes Pontifícia Universidade Católica do Rio Grande do Sul – Hospital São Lucas – Porto Alegre (RS), Brazil. https://orcid.org/0000-0002-0891-4427
  • Flavio Vinicius Costa Ferreira Pontifícia Universidade Católica do Rio Grande do Sul – Hospital São Lucas – Porto Alegre (RS), Brazil.
  • Laura Orlandini Lodi Pontifícia Universidade Católica do Rio Grande do Sul – Hospital São Lucas – Porto Alegre (RS), Brazil. https://orcid.org/0000-0003-1164-6483

Keywords:

Artificial cardiac stimulation, Atrioventricular fascicle, Artificial pacemaker, Disease of the cardiac conduction system, Cardiac insufficiency

Abstract

Advances in cardiac stimulation demonstrate that bradyarrhythmia treatments go beyond heart rate control. The concern with the ventricular stimulation site and, consequently, with the maintenance of intraventricular synchrony has become routine in most services. Techniques of physiological cardiac stimulation, such as stimulation of the bundle of His and the left branch, have been improved. Despite the indisputable benefits of these therapeutic modalities, there are technical difficulties that limit systematic use. In this sense, to make physiological cardiac stimulation more practical and reproducible, the concept of parahissian stimulation was expanded and studied. The technique, simpler and reproducible, contemplates a conventional approach of the right ventricle. The big difference is the use of QRS spatial variance analysis technology (Synchromax®, Exo S.A., Argentina) to confirm the maintenance of ventricular synchrony according to the implanted site.

Downloads

Download data is not yet available.

References

Merchant FM, Mittal S. Pacing Induced Cardiomyopathy. Journal of Cardiovascular Electrophysiology. 2019 Nov;31.

Vijayaraman P, Naperkowski A, Subzposh FA, et al. Permanent His Bundle Pacing: Long-Term Lead Performance and Clinical Outcomes. Heart Rhythm. 2018 May;15(5):696-702.

Vijayaraman P, Ellenbogen K. Approach to permanent His bundle pacing in challenging implants. Heart Rhythm. 2018 Sep;15(9):1428-31.

Fischer AJ, Nagarajan VD, Yen Ho S, et al. Anatomic pitfalls and challenges of His bundle pacing. Herzschrittmacherther Elektrophysiol. 2020 Jun;31(2):104-10.

Sundaram S, Arora V, et al. Left Bundle Branch Pacing: A Comprehensive Review. 2020 Jul;Doi: 10.1111/jce.14681.

Bonominia MP, Ortega DF, Barjac LD, Manganic N, PD Arinia. Depolarization spatial variance as a cardiac dyssynchrony descriptor. Biomedical Signal Processing and Control.2019; 49:540–5.

Ferrari AL, Gazzoni GF, Ley LM, et al. Análise da Sincronia Ventricular na Estinulação Cardíaca ParaHissiana como Alternativa Para Ativação Cardíaca Fisiológica (Estimulação Indireta do Feixe de His): Resultados Promissores? 2020 (submetido).

Downloads

Published

14-01-2021

How to Cite

Galli Reis, G., Di Leoni Ferrari, A., Chiari Cabral, G., Ferreira Gazzoni, G. ., Manuel Ley, L., Feltrin Willes, J. C., Costa Ferreira, F. V., & Orlandini Lodi, L. (2021). Advances in Physiological Cardiac Stimulation. JOURNAL OF CARDIAC ARRHYTHMIAS, 34(1), 45–47. Retrieved from https://jca.org.br/jca/article/view/3435

Issue

Section

Point of View