Evidence map›Paper›PMID 38167848›Full record

ArticleNature communications2024

Injectable hydrogel electrodes as conduction highways to restore native pacing.

Gabriel J Rodriguez-Rivera, Allison Post, Mathews John, Skylar Buchan, Drew Bernard, Mehdi Razavi, Elizabeth Cosgriff-Hernandez

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
13.3field-weighted citation impact, top 1% of its field
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

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
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  4. Feasibility of pulsed field ablation in the coronary venous system using a linear multielectrode catheter: a preclinical study in a swine model.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  5. Review
  6. Review
  7. A surgical epicardial approach to mapping and ablation in large animal models.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  8. Review
  9. Review
  10. Review
  11. Novel Electroactive Therapeutic Platforms for Cardiac Arrhythmia Management.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  12. Article
  13. Article
  14. Design of PEG-Based Hydrogels as Soft Ionic Conductors.Journal of biomedical materials research. Part A · 2025
    Article
  15. Article
  16. Review
  17. 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

7 authors at 3 institutions in 1 country.

Gabriel J Rodriguez-RiveraMcKetta Department of Chemical Engineering, The University of Texas at Austin, Austin, TX, 787212, USA.
Allison PostElectrophysiology Clinical Research and Innovations, Texas Heart Institute, Houston, TX, 77030, USA.
Mathews JohnElectrophysiology Clinical Research and Innovations, Texas Heart Institute, Houston, TX, 77030, USA.
Skylar BuchanElectrophysiology Clinical Research and Innovations, Texas Heart Institute, Houston, TX, 77030, USA.
Drew BernardElectrophysiology Clinical Research and Innovations, Texas Heart Institute, Houston, TX, 77030, USA.
Mehdi RazaviElectrophysiology Clinical Research and Innovations, Texas Heart Institute, Houston, TX, 77030, USA. mehdirazavi1@gmail.com.ORCID 0000-0001-7176-5586
Elizabeth Cosgriff-HernandezDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, TX, 78712, USA. cosgriff.hernandez@utexas.edu.ORCID 0000-0002-4701-5600
Houston Institute for Clinical Research · USThe University of Texas at Austin · USBaylor College of Medicine · US

Funding

Injectable Hydrogel Electrodes to Prevent Ventricular ArrhythmiasR01HL162741 · NHLBI · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth Marie Cosgriff-Hernandez, Mehdi Razavi · 2023 to 2026
$2.4M
NHLBI NIH HHS R01 HL162741
6 · The paper itself

Abstract

There is an urgent clinical need for a treatment regimen that addresses the underlying pathophysiology of ventricular arrhythmias, the leading cause of sudden cardiac death. The current report describes the design of an injectable hydrogel electrode and successful deployment in a pig model with access far more refined than any current pacing modalities allow. In addition to successful cardiac capture and pacing, analysis of surface ECG tracings and three-dimensional electroanatomic mapping revealed a QRS morphology comparable to native sinus rhythm, strongly suggesting the hydrogel electrode captures the deep septal bundle branches and Purkinje fibers. In an ablation model, electroanatomic mapping data demonstrated that the activation wavefront from the hydrogel reaches the mid-myocardium and endocardium much earlier than current single-point pacing modalities. Such uniform activation of broad swaths of tissue enables an opportunity to minimize the delayed myocardial conduction of heterogeneous tissue that underpins re-entry. Collectively, these studies demonstrate the feasibility of a new pacing modality that most closely resembles native conduction with the potential to eliminate lethal re-entrant arrhythmias and provide painless defibrillation.

Indexed as

Bundle of HisHydrogelsAnimalsArrhythmias, CardiacCardiac Pacing, ArtificialElectrocardiographyElectrodesPurkinje FibersSwineHydrogels

Identifiers

PMID38167848
PMCPMC10762156
OpenAlexW4390500259

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.