左捆分支区域步调 (LBBAP) 自动值算法 导电系统步调的评估:LATECS试点试验
Chiara Ghiglieno1,2, Gabriele Dell'Era1, Alessandro Veroli1,2
1Clinica Cardiologica, Dipartimento Toraco-Cardio-Vascolare, Ospedale Maggiore della Carità, Novara, Italy.
Pacing and clinical electrophysiology : PACE
|July 10, 2023
概括
自动化值测量 (ATM) 相当于左束枝区域节奏 (LBBAP) 心脏植入器 (CIED) 的手动测试. 这验证了ATM对安全有效的LBBAP后续行动的有效性.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械 医疗器械
背景情况:
- 自动化值测量 (ATM) 和输出调整可提高心脏植入器械 (CIED) 的安全性和后续工作.
- 现有的ATM算法已被验证用于常规步调,但未被验证用于永久的His步调.
- 左捆支部区域节奏 (LBBAP) 是一种用于生理心脏刺激的新兴技术.
研究的目的:
- 评估ATM在LBBAP设置中的适用性.
- 为了将手动值测量与ATM衍生的LBBAP值进行比较.
主要方法:
- 一项前性观察性试验招募了连续接受有ATM能力的CIED和LBBAP的患者.
- 在植入后3个月手动和通过ATM比较了节奏值.
- 当可用时,随后进行了远程跟踪.
主要成果:
- 纳入了45名患者,LBBAP线索的ATM始终有效.
- 手动LBBAP捕获门的平均值为0.66 ± 0.19V,与ATM的0.64 ± 0.19V相比.
- TOST分析证实了同等性 (p = .66);ATM在随访中是有效的,没有不良事件.
结论:
- ATM算法相当于手动测试,用于确定LBBAP捕获值.
- 对于接受LBBAP CIED的患者,ATM可以可靠地使用.
- 这支持ATM的使用,以提高LBBAP的安全性和后续工作.
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