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Acute Effects of Intraoperative Multisite Ventricular Pacing on Left Ventricular Function and Activation/Contraction Sequence in Patients with Depressed Ventricular Function

Overview of attention for article published in Journal of Cardiovascular Electrophysiology, April 2007
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Title
Acute Effects of Intraoperative Multisite Ventricular Pacing on Left Ventricular Function and Activation/Contraction Sequence in Patients with Depressed Ventricular Function
Published in
Journal of Cardiovascular Electrophysiology, April 2007
DOI 10.1111/j.1540-8167.1998.tb00862.x
Pubmed ID
Authors

LESLIE A. SAXON, WALTER F. KERWIN, MICHAEL K. CAHALAN, JONATHAN M. KALMAN, JEEEREY E. OLGIN, ELYSE FOSTER, NELSON B. SCHILLER, JEROLD S. SHINBANE, MICHAEL D. LESH, SCOT H. MERRICK

Abstract

We hypothesized that simultaneous right and left ventricular apical pacing would result in improvement in left ventricular function due to improved coordination of segmental ventricular contraction. Structural changes in ventricular muscle present in dilated cardiomyopathy compromise ventricular excitation and mechanical contraction. Eleven patients with depressed left ventricular function having cardiac surgery underwent epicardial multisite pacing with continuous transesophageal echocardiographic imaging. Quantitative measurement of percent fractional area change was performed, and segmental changes in contraction sequence resulting from simultaneous right and left ventricular pacing were assessed by application of phase analysis to recorded transesophageal images. There was no statistically significant difference between the paced QRS duration achieved with simultaneous right and left ventricular apical pacing and the native QRS duration (139+/-39 msec vs 106+/-18 msec, P = NS), but all other paced modes resulted in longer QRS durations. Percent fractional area change improved with simultaneous right and left ventricular apical pacing but not with other paced modes (41.5+/-11.9 vs 34.3+/-9.7, P < 0.01). Phase analysis demonstrated a resequencing of segmental left ventricular activation/contraction when compared to baseline ventricular activation. Simultaneous right and left ventricular apical pacing results in acute improvements in global ventricular performance in patients with depressed ventricular function. Improvements may result from pacing-induced global coordination through recruitment of left and right ventricular apical and septal segments critical to effective ventricular contraction.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Mexico 1 5%
Netherlands 1 5%
United States 1 5%
Unknown 19 86%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 23%
Student > Ph. D. Student 5 23%
Student > Master 3 14%
Other 2 9%
Student > Postgraduate 2 9%
Other 2 9%
Unknown 3 14%
Readers by discipline Count As %
Medicine and Dentistry 10 45%
Engineering 3 14%
Neuroscience 2 9%
Sports and Recreations 1 5%
Biochemistry, Genetics and Molecular Biology 1 5%
Other 1 5%
Unknown 4 18%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 October 2023.
All research outputs
#8,247,700
of 24,701,898 outputs
Outputs from Journal of Cardiovascular Electrophysiology
#1,004
of 2,816 outputs
Outputs of similar age
#29,050
of 81,620 outputs
Outputs of similar age from Journal of Cardiovascular Electrophysiology
#30
of 137 outputs
Altmetric has tracked 24,701,898 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,816 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.4. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 81,620 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 137 others from the same source and published within six weeks on either side of this one. This one is in the 8th percentile – i.e., 8% of its contemporaries scored the same or lower than it.