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ArticleCJC open2025

Acute Electrical Synchronization Achieved With Dynamic Atrioventricular Delays During Biventricular and Left Ventricular MultiPoint Pacing.

Bernard Thibault, Peter Waddingham, Nima Badie, Jan O Mangual, Luke C McSpadden, Tim R Betts, Leonardo Calò, Domenico Grieco, Francisco Leyva, Anthony Chow

Registry-linked trialAbstract read
In one paragraph

Article in CJC open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03567096 (Characterization of Acute and Long Term Response to Left Ventricle Only Pacing Combined With MultiPoint Pacing and SyncAV), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT03567096 nacompletednot on this map

Characterization of Acute and Long Term Response to Left Ventricle Only Pacing Combined With MultiPoint Pacing and SyncAV

TypeinterventionalSponsorAbbott Medical DevicesRan2018 to 2023Enrolled101ConditionsHeart Failure, Left Bundle-Branch BlockArmsBiV pacing with MPP and SyncAV, LV only pacing with MPP and SyncAV
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

10 authors.

Bernard ThibaultElectrophysiology Service, Montreal Heart Institute, Université de Montréal, Montréal, Québec, Canada.
Peter WaddinghamBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Nima BadieAbbott, Sylmar, California, USA.
Jan O MangualAbbott, Sylmar, California, USA.
Luke C McSpaddenAbbott, Sylmar, California, USA.
Tim R BettsCardiology Department, Oxford University Hospital, Oxford, UK.
Leonardo CalòPoliclinico Casilino, Rome, Italy.
Domenico GriecoPoliclinico Casilino, Rome, Italy.
Francisco LeyvaAston Medical Research Institute, Aston Medical School, Birmingham, UK.
Anthony ChowBarts Heart Centre, St Bartholomew's Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiac resynchronization therapy (CRT) response relies on 2 factors: when and where to pace. These factors may be enhanced by dynamic atrioventricular delays (AVDs) (eg, SyncAV CRT, Abbott Cardiovascular, Abbott Park, IL) and multisite left ventricular (LV) pacing (eg, MultiPoint Pacing [MPP], Abbott). Their individual and combined synchronization contributions have not been evaluated across a comprehensive spectrum of pacing configurations. The objective is to distinguish the acute electrical synchrony achieved by static vs dynamic AVDs, single-site vs multisite LV pacing, and with vs without right ventricular (RV) pacing. Methods: CRT-indicated patients with left bundle branch block (LBBB) and intact atrioventricular (AV) conduction (PR < 250 ms) were enrolled and evaluated during implant. Acute changes in 12-lead electrocardiographic (ECG) QRS duration (QRSd) were evaluated during intrinsic conduction, biventricular pacing (BiV), biventricular MPP, LV-only single-site pacing (LVSS), and LV-only MPP (LVMPP). CRT modes were evaluated with static AVDs and optimized SyncAV AVDs. Results: CRT implant and QRSd evaluation were completed in 85 patients (71% male, 34% ischemic, 179 ms PR). The median intrinsic QRSd of 165 ms was reduced by BiV, MPP, LVSS, and LVMPP without SyncAV to 144 ms (by 14%), 142 ms (16%), 155 ms (8%), and 149 ms (12%), respectively ( Conclusions: MPP combined with SyncAV achieved the narrowest QRSd, in the overall population and in the most patients, by delivering ventricular pacing from all available sites (RV + LV1 + LV2) while timed with dynamic AVDs. Clinical Registration Number: NCT03567096.

Identifiers

PMID40060211
PMCPMC11886368

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Registered trials

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.