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Image Search Results
Journal: Scientific Reports
Article Title: His bundle pacing guided by automated intrinsic morphology matching is feasible in patients with narrow QRS complexes
doi: 10.1038/s41598-022-07516-6
Figure Lengend Snippet: Diagnostic pace mapping. ( A ) The distal electrodes of a steerable mapping catheter were positioned at the distal His area as indicated by the second intrinsic beat (*). Local pacing with reduced pacing amplitude from 10 mA@1 ms to 5 mA resulted in the transition from NS-His capture to S-HBP ( † ). By comparing the paced morphology with the intrinsic QRS complex beat to beat the AutoMap module, the loss of local myocardial capture (S-HBP) indicated a jump in the intrinsic morphology match score from 86% (not shown) to 97% (red box). Note that in addition to the “global” IMS for the 12-lead ECG, the algorithm calculates the morphology match for every single lead ( ‡ ). ( B ) IMS map using the cutoff values found in the study. The ECGs show an intrinsic beat during initially ineffective pacing followed by a paced morphology with an IMS of 92%, indicating S-HBP on the left (LAO) compared with NS-HBP on the right (postero-lateral view). 12-lead surface electrogram; ROV CS, mapping catheter, distal electrodes.
Article Snippet: The
Techniques: Diagnostic Assay