Evaluation of injury current amplitude in elderly patients undergoing right ventricular pacing
Main Article Content
Abstract
Objectives: Investigate the current of injury (COI) during right ventricular lead implantation at the old patients.
Methods and Results: 123 patients (pts) were implanted 2 chambers pacemaker were divided to 2 Groups. Group I included 84 pts with age < 70 years and Group II included 39 pts with age ≥ 70 years. All pts was measured the pacemaker parameters of right ventricular lead, right atrial lead and COI during lead implantation.
There is not significantly different between 2 groups in the pacemaker parameter of right ventricular implantation: at sensing amplitudes (Group I were 11,18±1,92 mV vs Group II were 10,8±2 mV; p=NS); at lead impedances (Group I were 637,6±73,51 ᾨ vs Group were II 634,09±62,21 ᾨ; p=NS) and at pacing thresholds (Group I were 0,67±0,17 V vs Group II were 0,69±0,22 V; p=NS). Similar, there is not significantly different between 2 groups in the pacemaker parameter of left ventricular implantation: at sensing amplitudes (Group I were 3,23 ± 1,56 mV vs Group II were 3,15 ± 1,38 mV; p=NS); at lead impedances (Group I were 586,31 ± 125, 82 ᾨ vs Group were II 565,21 ± 137, 62 ᾨ; p=NS) and at pacing thresholds (Group I were 0,79 ± 0,14 V vs Group II were 0,76 ± 0,21 V; p=NS). Group II gets the lower of COI amplitude at right ventricular lead versus Group I (Group II were 10,81±2,31 mV vs Group I were 14,06 ± 4,13 mV; p=0,03) but no different of COI amplitude at right atrial lead between 2 Groups (Group II were 2,91 ± 0,48 mV vs Group I were 3,02 ± 0, 32 mV; p=NS)
Conclusion: The patients with age ≥ 70 years get lower of COI amplitude than the patients with age < 70 years.
Keywords
COI, current of injury, pacemaker, implantation
Article Details
References
2. Phạm Như Hùng, Trần Song Giang, Trần Văn Đồng, Tạ Tiến Phước. Thực trạng cấy máy tạo nhịp 1 buồng và 2 buồng tim trong chỉ định điều trị nhịp tim chậm tại Viện Tim mạch Việt nam. Tạp chí Tim mạch học Việt nam. Số 2013; số 65: 64-69
3. Redfearn DP, Gula LJ, Krahn AD, Skanes AC, Klein GJ, et al. Current of injury predicts acute performance of catheter-delivered active fixation pacing leads. Pacing Clin Electrophysiol 2007; 30: 1438–1444.
4. Lê Mạnh, Trần Song Giang. Đặc điểm sóng tổn thương và mối liên quan với các thông số tạo nhịp ở bệnh nhân cấy máy tạo nhịp vĩnh viễn qua theo dõi ngắn hạn. Tạp chí tim mạch học Việt Nam 2019 số 90: 195-202
5. Phạm Như Hùng, Sóng tổn thương trong đặt máy 2 buồng tim. Tạp chí Y học Việt nam 2018; số 465 : 153-159.
6. Epstein AE, DiMarco JP, Ellenbogen KA, Estes NA 3rd, Freedman RA, Gettes LS, et al. ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2008 May 27. 51(21):e1-62.
7. Rajappan K. Permanent pacemaker implantation technique. Heart 2009;95;334-342.
8. Kashiwase K, Kobayashi H, Hirata A, et al. Acute changes in the pacing threshold after lead implantation. Comparison between retractable and sweet-tip active-fixation leads. Int Heart J 2012; 53:108-112.
9. Chen MR, han FL, Wang WW, Chen XH et al. Combining current of injury and P wave sensing optimized right atrial active fixation leads implantation. J Thorac Dis 2019; 11(4): 1279-1286.
10. Chen JH, Zhang FL, Chen XH, et al. Dynamic changes in current of injury predicts adequate active lead fixation in permanent pacemaker leads. Journal of Clinical Cardiology 2013; 29:819-823.
11. Haghjoo M, Mollazadeh R, Aslani A, et al. Prediction of midterm performance of active-fixation leads using current of injury. Pacing Clin Electrophysiol 2014; 37:231-236
12. Breitenstein A, Saguner AM, Gasperetti A, Hofer D et al. Assessment of injury current during leadless pacemaker implantation. Inter J of Cardio 2021; 323(15): 113-117
13. Shali S, Wu W, Bai J, Su Y et al. Current of injury is an indicator of lead depth and performance during left bundle branch pacing lead implantation. Heart Rhythm 2022; 19(8): 1281-1288
Similar Articles
- Sinh Hien Nguyen, Van Thanh Ngo, Minh Ngoc Nguyen, Thanh Hung Ngo, Cong Pho Dinh, Concomitant cox - maze iv procedure for atrial fibrillation during cardiac surgery at Hanoi Heart Hospital: a single center experience in 123 consecutive patients , The Vietnam Journal of Cardiovascular and Thoracic Surgery: Vol. 52
You may also start an advanced similarity search for this article.