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Updated: Jul 9, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
[Influence of the radiofrequency current on the left ventricular systolic function]
Jacek Lelakowski1, Michał Nessler, Katarzyna Kalemba
1Uniwersytet Jagiellohski, Collegium Medicum, Instytut Kardiologii w Krakowie, Klinika Elektrokardiologii w Krakowskim Szpitalu Specjalistycznym. jlelakow@szpitaljp2.krakow.pl
Unlabelled:
Radio frequency catheter ablation (RFCA)--induced myocardial injury is caused by the thermal, electrical and biological effects of RF current.
Aim Of The Study:
To assess the changes in the left ventricular systolic function following RFCA.
Material And Methods:
Ejection fraction (EF) and shortening fraction (FS) were assessed in 24 pacing patients (10 females in age 44-79 years, mean age 64.8 +/- 11 years) before and 24 hours after successful RFCA of an atrio-ventricular node area due to medical refractory chronic atrial fibrillation.
Results:
The mean number of RFCA applications was 5.5 +/- 5.0, total application time--237.5 +/- 188 sec, cumulative energy--8916.7 +/- 6886.2 J and temperature measured at the tip of electrode--59.6 +/- 4.90 degrees C. We did not find the changes in EF and FS after the ablation. In addition, a non-significant correlation between the left ventricular systolic function and the cumulative RFCA energy was documented.
Conclusions:
Non-significant correlation between the left ventricular contractility and the cumulative RFCA energy was observed.
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