1.Department of Radiology ;2.Department of Cardiology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,China
Clc Number:
R445.2
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Abstract:
Objective:To investigate the effect of ventricular septal scars on the capture of left bundle branch during left bundle bracn pacing(LBBP)by cardiac magnetic resonance imaging(CMR). Methods:A retrospective analysis was conducted on 52 patients intendea for LBBP,who were divided into a failure group and a success group based on whether the capture of left bundle branch was achieved. Segmental score of septal scarring was performed using CMR. Results:The score of the upper ventricular septal scar was an independent predictor of the success of LBBP capture. When the scar of the upper ventricular septum was less than 25%,the success rate of LBBP capture was 100%. Howerver,when the scar was equal to or more than,the failure rate of LBBP capture was 100%. Conclusion:Evaluating upper ventricular septal scars using CMR helps predict the success of LBBP capture,providing a reliable reference for the smooth execution of the surgery.