Evidence map›Paper›PMID 41729357›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2026

Performance of automatic capture confirmation algorithm in a large cohort of pacemaker patients with left bundle branch area pacing.

Matthew A Bernabei, Sandeep Bansal, R Ward Pulliam, Fady Dawoud, Wenwen Li, Leyla Sabet, Kyungmoo Ryu, Luke McSpadden, Jeffrey Arkles

Abstract read
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Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Matthew A BernabeiPenn Medicine - Lancaster General Health, Lancaster, PA, USA. Matthew.Bernabei@pennmedicine.upenn.edu.
Sandeep BansalPenn Medicine - Lancaster General Health, Lancaster, PA, USA.
R Ward PulliamPenn Medicine - Lancaster General Health, Lancaster, PA, USA.
Fady Dawoud, Abbott, Sylmar, CA, USA.ORCID http://orcid.org/0000-0001-5758-413X
Wenwen Li, Abbott, Sylmar, CA, USA.
Leyla Sabet, Abbott, Sylmar, CA, USA.
Kyungmoo Ryu, Abbott, Sylmar, CA, USA.
Luke McSpadden, Abbott, Sylmar, CA, USA.
Jeffrey ArklesPenn Medicine - Lancaster General Health, Lancaster, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutomatic capture confirmation algorithms regularly evaluate pacing capture threshold (PCT) and adjust energy output to deliver a tailored safety margin over the PCT. Abbott AutoCapture™ Algorithm provides beat-by-beat capture confirmation and delivers a high-output backup safety pulse in the event of non-capture. Our objective was to evaluate the longitudinal performance and stability of the Abbott AutoCapture™ algorithm in patients with LBBAP.

methodsDe-identified remote device data were retrospectively analyzed from consecutive patients in our hospital who received AutoCapture enabled Abbott pacemakers with LBBAP from June 2021 to August 2023. Device stored AutoCapture PCT measurements were then evaluated incrementally over an approximate 2-year period, to evaluate longer-term trends and performance, and also compared with the in-clinic manual PCT.

resultsA total of 619 patients with either single chamber (n = 89) or dual-chamber Abbott devices (n = 530) were identified. AutoCapture and manually measured PCTs in-clinic were within 0.25 V in 600/615 (97.6%) patients, with average PCTs of 0.76 V ± 0.28 and 0.80 V ± 0.26 respectively. At 1, 3, 6, 12, and 24-month remote follow-up, average AutoCapture PCTs were 0.67 V ± 0.29 (n = 594), 0.66 V ± 0.25 (n = 560), 0.71 V ± 0.29 (n = 543), 0.77 V ± 0.29 (n = 447) and 0.81 V ± 0.28 (n = 112), respectively. AutoCapture was found to be effective in assessing PCT and was activated in the majority of patients (619/644, 97%) with no clinical complications related to its usage.

conclusionThe AutoCapture algorithm measured accurate PCTs compared to manual in-clinic and showed stable trend during follow-up of 2 years in patients with LBBAP.

Indexed as

AlgorithmsBundle-Branch BlockCardiac Pacing, ArtificialPacemaker, ArtificialAgedCohort StudiesElectrocardiographyFemaleHumansMaleRetrospective StudiesAutoCaptureCapture threshold managementCardiac implantable devicesConduction system pacingLeft bundle branch area pacingRemote monitoring

Identifiers

PMID41729357
PMCPMC13221406

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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.