Dual versus conventional cardiac resynchronization: A pilot study

Authors

  • Pradip Kumar Ghoshal Associate Professor, Department of Cardiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
  • Subhraprakash Pramanik Resident, Department of Cardiology, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India
  • Tanmoy Kanti Goswami Associate Professor, Department of Pharmacology, Barasat Government Medical College and Hospital, Barasat, West Bengal, India
  • Rajarshi Mondal Assistant Professor, Department of Cardiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
  • Arunava Biswas Associate Professor, Department of Pharmacology, Barasat Government Medical College and Hospital, Barasat, West Bengal, India https://orcid.org/0000-0002-9676-3410
  • Asish Biswas Professor, Department of Pharmacology, Maharaja Jitendra Narayan Medical College and Hospital, Coochbehar, West Bengal, India

DOI:

https://doi.org/10.3126/ajms.v15i7.65304

Keywords:

Cardiac device; Implantation; Comparison

Abstract

Background: Systolic heart failure treatment now includes cardiac resynchronization therapy (CRT) as a necessary element. CRT has been shown to have advantageous impacts on mortality, hospitalization rates, and quality of life. Approximately 30% of patients fail to respond to traditional CRT implantation.

Aims and Objectives: This study aimed to compare the outcome of dual resynchronization by placing the right ventricular pacing lead at His bundle or left bundle branch area against conventional CRT.

Materials and Methods: This longitudinal follow-up study of a total of 35 patients undergoing CRT device placement for assessment of safety, efficacy, and feasibility of the procedure and post-procedural complications and correlation with parameters obtained from electrocardiogram and echocardiography parameters in a tertiary care set up in India.

Results: Among this matched population (mean age 64 years) there was a higher responder rate with the newer technique of dual resynchronization compared to conventional CRT (83% vs. 70%).

Conclusion: Dual resynchronization therapy is feasible and safe and provides better electrical resynchronization compared to conventional CRT and could be a better alternative, especially when suboptimal electrical resynchronization is obtained.

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Published

2024-07-01

How to Cite

Pradip Kumar Ghoshal, Subhraprakash Pramanik, Tanmoy Kanti Goswami, Mondal, R., Biswas, A., & Asish Biswas. (2024). Dual versus conventional cardiac resynchronization: A pilot study. Asian Journal of Medical Sciences, 15(7), 68–73. https://doi.org/10.3126/ajms.v15i7.65304

Issue

Vol. 15 No. 7 (2024)

Section

Original Articles

License

Copyright (c) 2024 Asian Journal of Medical Sciences

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