Hemodynamic Doppler Echocardiographic Evaluation of Permanent His Bundle and Biventricular Pacing After AV Nodal Ablation

Overview

Journal Int J Cardiol Heart Vasc

Date 2022 Sep 26

PMID 36161234

Authors

Robert H Hoyt

Brian P Kelley

Mark J Harry

Richard H Marcus

Affiliations

Soon will be listed here.

Abstract

Method: 20 patients were evaluated > 6 months after AV nodal ablation, 10 each with chronic HBP or BVP, and all with RVAP lead. Doppler echocardiography was used to measure 3 parameters indicative of CRT: 1) LV dP/dt, 2) the LV pre-ejection interval, and 3) myocardial performance index, relative to intra-patient RVAP.

Results: Primary endpoint of LV dP/dt on average improved by > 17% with both HBP and BVP, compared to RVAP. HBP but not BVP, had improvement across all three parameters.

Conclusion: HBP provides LV electromechanical synchrony across multiple echo Doppler parameters. Both HBP and BVP were hemodynamically superior to RVAP following AV nodal ablation.

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