Evidence map›Paper›PMID 37373831›Full record

ArticleJournal of clinical medicine2023

Cardiac Resynchronization Therapy beyond Nominal Settings: An IEGM-Based Approach for Paced and Sensed Atrioventricular Delay Offset Optimization in Daily Clinical Practice.

Mariëlle Kloosterman, Fenna Daniëls, Eva Roseboom, Michiel Rienstra, Alexander H Maass

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Impact of myocardial phenotype on optimal atrioventricular delay settings during biventricular and left bundle branch pacing at rest and during exercise: insights from a virtual patient study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  3. Progress in Cardiac Resynchronisation Therapy and Optimisation.Journal of cardiovascular development and disease · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mariëlle KloostermanUniversity Medical Center Groningen, Department of Cardiology, University of Groningen, 9712 CP Groningen, The Netherlands.
Fenna DaniëlsUniversity Medical Center Groningen, Department of Cardiology, University of Groningen, 9712 CP Groningen, The Netherlands.
Eva RoseboomUniversity Medical Center Groningen, Department of Cardiology, University of Groningen, 9712 CP Groningen, The Netherlands.
Michiel RienstraUniversity Medical Center Groningen, Department of Cardiology, University of Groningen, 9712 CP Groningen, The Netherlands.
Alexander H MaassUniversity Medical Center Groningen, Department of Cardiology, University of Groningen, 9712 CP Groningen, The Netherlands.ORCID 0000-0002-7936-360X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Optimization of the atrioventricular (AV) delay has been performed in several landmark trials in cardiac resynchronization therapy (CRT), although it is often not performed in daily practice. Our aim was to study optimal AV delays and investigate a simple intracardiac electrogram (IEGM)-based optimization approach. 328 CRT patients with paired IEGM and echocardiography optimization data were included in our single-center observational study. Sensed (sAV) and paced (pAV) AV delays were optimized using an iterative echocardiography method. The offset between sAV and pAV delays was calculated using the IEGM method. The mean age of the patients was 69 ± 12 years; 64% were men, 48% had ischemic etiology of heart failure. During echocardiographic optimization, an offset of 73 ± 18 ms was found, differing from nominal AV settings (

Indexed as

AV delayechocardiographyheart failureintracardiac electrogramoptimization

Identifiers

PMID37373831
PMCPMC10299691

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.