Evidence map›Paper›PMID 38535099›Full record

ReviewJournal of cardiovascular development and disease2024

Ultra-High-Frequency ECG in Cardiac Pacing and Cardiac Resynchronization Therapy: From Technical Concept to Clinical Application.

Uyên Châu Nguyên, Jesse H J Rijks, Filip Plesinger, Leonard M Rademakers, Justin Luermans, Karin C Smits, Antonius M W van Stipdonk, Frits W Prinzen, Kevin Vernooy, Josef Halamek and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Wavelet Decomposition-Based Genomic Analysis of the Human Electrocardiogram.medRxiv : the preprint server for health sciences · 2026
    Article
  2. Article
  3. Left bundle branch pacing in patients with structural heart disease: personalizing cardiac resynchronization therapy.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
    Review
  4. Implementation of lead V8 as a simple non-invasive tool to improve patient selection in cardiac resynchronization therapy and guide left ventricular lead placement.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
  5. Review
  6. 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

12 authors at 4 institutions in 2 countries.

Uyên Châu NguyênDepartment of Cardiology, Maastricht University Medical Center+, Cardiovascular Research Institute Maastricht (CARIM), 6229 HX Maastricht, The Netherlands.ORCID 0000-0002-4836-2946
Jesse H J RijksDepartment of Cardiology, Maastricht University Medical Center+, Cardiovascular Research Institute Maastricht (CARIM), 6229 HX Maastricht, The Netherlands.ORCID 0000-0001-5136-4830
Filip PlesingerInstitute of Scientific Instruments of the Czech Academy of Sciences, 61200 Brno, Czech Republic.ORCID 0000-0003-2875-3541
Leonard M RademakersDepartment of Cardiology, Catharina Ziekenhuis, 5623 EJ Eindhoven, The Netherlands.ORCID 0000-0001-6106-7354
Justin LuermansDepartment of Cardiology, Maastricht University Medical Center+, Cardiovascular Research Institute Maastricht (CARIM), 6229 HX Maastricht, The Netherlands.
Karin C SmitsDepartment of Physiology, Maastricht University Medical Center+, Cardiovascular Research Institute Maastricht (CARIM), 6229 HX Maastricht, The Netherlands.
Antonius M W van StipdonkDepartment of Cardiology, Maastricht University Medical Center+, Cardiovascular Research Institute Maastricht (CARIM), 6229 HX Maastricht, The Netherlands.
Frits W PrinzenDepartment of Physiology, Maastricht University Medical Center+, Cardiovascular Research Institute Maastricht (CARIM), 6229 HX Maastricht, The Netherlands.
Kevin VernooyDepartment of Cardiology, Maastricht University Medical Center+, Cardiovascular Research Institute Maastricht (CARIM), 6229 HX Maastricht, The Netherlands.ORCID 0000-0002-8818-5964
Josef HalamekInstitute of Scientific Instruments of the Czech Academy of Sciences, 61200 Brno, Czech Republic.ORCID 0000-0001-8986-796X
Karol CurilaCardiocenter, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova, 1150/50, 10034 Prague, Czech Republic.ORCID 0000-0003-3523-6358
Pavel JurakInstitute of Scientific Instruments of the Czech Academy of Sciences, 61200 Brno, Czech Republic.
Maastricht University · NLCzech Academy of Sciences, Institute of Scientific Instruments · CZCharles University · CZRadboud University Nijmegen · NL

Funding

Hartstichting 2021T016
6 · The paper itself

Abstract

Identifying electrical dyssynchrony is crucial for cardiac pacing and cardiac resynchronization therapy (CRT). The ultra-high-frequency electrocardiography (UHF-ECG) technique allows instantaneous dyssynchrony analyses with real-time visualization. This review explores the physiological background of higher frequencies in ventricular conduction and the translational evolution of UHF-ECG in cardiac pacing and CRT. Although high-frequency components were studied half a century ago, their exploration in the dyssynchrony context is rare. UHF-ECG records ECG signals from eight precordial leads over multiple beats in time. After initial conceptual studies, the implementation of an instant visualization of ventricular activation led to clinical implementation with minimal patient burden. UHF-ECG aids patient selection in biventricular CRT and evaluates ventricular activation during various forms of conduction system pacing (CSP). UHF-ECG ventricular electrical dyssynchrony has been associated with clinical outcomes in a large retrospective CRT cohort and has been used to study the electrophysiological differences between CSP methods, including His bundle pacing, left bundle branch (area) pacing, left ventricular septal pacing and conventional biventricular pacing. UHF-ECG can potentially be used to determine a tailored resynchronization approach (CRT through biventricular pacing or CSP) based on the electrical substrate (true LBBB vs. non-specified intraventricular conduction delay with more distal left ventricular conduction disease), for the optimization of CRT and holds promise beyond CRT for the risk stratification of ventricular arrhythmias.

Indexed as

cardiac resynchronization therapyconduction system pacingelectrical dyssynchronyelectrocardiographyultra-high frequency

Identifiers

PMID38535099
PMCPMC10970776
OpenAlexW4392111593

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.