- Cardiac Arrhythmias and Treatments
- Cardiac pacing and defibrillation studies
- Cardiac electrophysiology and arrhythmias
- Cardiac Structural Anomalies and Repair
- Atrial Fibrillation Management and Outcomes
- Neurological disorders and treatments
- Venous Thromboembolism Diagnosis and Management
- Diagnosis and Treatment of Venous Diseases
- IoT-based Smart Home Systems
- Cardiac Valve Diseases and Treatments
- Cardiomyopathy and Myosin Studies
- Elevator Systems and Control
- EEG and Brain-Computer Interfaces
- Cardiovascular Effects of Exercise
- Power Line Inspection Robots
- Parkinson's Disease Mechanisms and Treatments
- Lymphadenopathy Diagnosis and Analysis
- Cardiac Imaging and Diagnostics
Geisinger Wyoming Valley Medical Center
2012-2023
Valley Hospital
2023
Commonwealth Medical College
2019-2022
Rush University Medical Center
2019
Geisinger Medical Center
2014
Background Cardiac resynchronization therapy utilizing biventricular pacing is an effective for patients with left ventricular (LV) systolic dysfunction, bundle branch block, and heart failure. Benefits of may be limited in right block (RBBB). Permanent His (HBP) has recently been reported as option cardiac therapy. The aim the study was to assess feasibility outcomes HBP RBBB Methods attempted a primary or rescue (failed LV lead implant) strategy reduced ejection fraction, RBBB, QRS...
Atrioventricular node ablation (AVNA) and right ventricular pacing (RVP) are effective therapies for patients with atrial fibrillation (AF) rapid rates. His bundle (HBP) is a physiologic alternative to RVP. The aim of our study assess the feasibility safety HBP in undergoing AVNA its effect on left (LV) function. Permanent preferred form at institute. were performed AF difficulty rate control. implant characteristics thresholds recorded. Fluoroscopic relationship site lead electrodes was...
Several single-center short-term studies have demonstrated the feasibility, safety, and positive clinical outcomes of permanent His bundle pacing (HBP). We performed a retrospective study to evaluate long-term technical safety performances HBP in large population pacemaker patients from two different centers.The analysis includes 844 (345 female, mean age = 75 ± 9 years) who underwent successful for indications 2004 2016. The main endpoints were long term electrical including threshold,...
Background: Conventional permanent His Bundle pacing (PHBP) can be challenging and associated with high fluoroscopy exposure. The aim of this study was to assess the feasibility safety performing low PHBP using 3-dimensional electroanatomic mapping comparing outcomes conventional guided implants. Methods: performed at 2 centers mapping-guided implantation in 10 patients a novel protocol (group 1) 20 2). primary end point achieving low/zero points included total radiation exposure...
Atrioventricular node ablation (AVNA) with right ventricular or biventricular pacing (conventional pacing; CP) is an effective therapy for patients refractory atrial fibrillation (AF). Conduction system (CSP) using His bundle left branch area preserves synchrony.The aim of our study to compare the clinical outcomes between CP and CSP in undergoing AVNA.Patients AVNA at Geisinger Health System January 2015 October 2020 were included this retrospective observational study. was performed...
His bundle pacing (HBP) is the most physiologic form of and has been associated with reduced risk for heart failure hospitalization (HFH) mortality compared to right ventricular pacing. Left branch area (LBBAP) a safe effective alternative option patients needing The aim this study was compare clinical outcomes between LBBAP HBP among large cohort undergoing permanent pacemaker implantation.This observational registry included consecutive AV block/AV node ablation who underwent de novo...
Abstract Aims His bundle pacing (HBP) is the most physiologic form of pacing. Long-term HBP capture threshold stability and its relation to lead characteristics at time implantation have not been adequately described. The aim this study was characterize HB in follow-up identify potential predictive instability. Methods results Consecutive patients with successful for bradycardia indications were identified from Geisinger registry. thresholds, baseline comorbidities, radiographic slack...
Abstract Left bundle branch pacing (LBBP) has emerged as an alternative to His (HBP) achieve physiologic ventricular stimulation. The extent of myocardial injury during permanent LBBP implantation is currently not known. aim the study was prospectively assess implantation. Cardiac troponin (cTn) levels were measured at baseline and 6–12 h following LBBP. number attempts documented. Troponin in a control population undergoing other electrophysiology procedures including HBP, devices involving...