{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T02:36:39Z","timestamp":1783823799358,"version":"3.55.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T00:00:00Z","timestamp":1570579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims\u2003<\/jats:title>\n                    <jats:p>Permanent His-bundle (HB) pacing is usually accompanied by simultaneous capture of the adjacent right ventricular (RV) myocardium\u2014this is described as a non-selective (ns)-HB pacing. It is of clinical importance to confirm HB capture using standard electrocardiogram (ECG). Our aim was to identify ECG criteria for loss of HB capture during ns-HB pacing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results\u2003<\/jats:title>\n                    <jats:p>Patients with permanent HB pacing were recruited. Electrocardiograms during ns-HB pacing and loss of HB capture (RV-only capture) were obtained. Electrocardiogram criteria for loss\/presence of HB capture were identified. In the validation phase, these criteria and the \u2018HB ECG algorithm\u2019 were tested using a separate, sizable set of ECGs. A total of 353 ECG (226\u2009ns-HB and 128 RV-only) were obtained from 226 patients with permanent HB pacing devices. QRS notch\/slur in left ventricular leads and R-wave peak time (RWPT) in lead V6 were identified as the best features for differentiation. The \u2018HB ECG algorithm\u2019 based on these features correctly classified 87.1% of cases with sensitivity and specificity of 93.2% and 83.9%, respectively. The criteria for definitive diagnosis of ns-HB capture (no QRS slur\/notch in Leads I, V1, V4\u2013V6, and the V6 RWPT \u2264 100\u2009ms) presented 100% specificity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion\u2003<\/jats:title>\n                    <jats:p>A novel ECG algorithm for the diagnosis of loss of HB capture and criteria for definitive confirmation of HB capture were formulated and validated. The algorithm might be useful during follow-up and the criteria for definitive confirmation of ns-HB capture offer a simple and reliable ancillary procedural endpoint during HB device implantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euz275","type":"journal-article","created":{"date-parts":[[2019,9,13]],"date-time":"2019-09-13T23:24:34Z","timestamp":1568417074000},"page":"1857-1864","source":"Crossref","is-referenced-by-count":43,"title":["Electrocardiographic characterization of non-selective His-bundle pacing: validation of novel diagnostic criteria"],"prefix":"10.1093","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3318-6601","authenticated-orcid":false,"given":"Marek","family":"Jastrz\u0119bski","sequence":"first","affiliation":[{"name":"First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kopernika 17, 31-501 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"Moskal","sequence":"additional","affiliation":[{"name":"First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kopernika 17, 31-501 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karol","family":"Curila","sequence":"additional","affiliation":[{"name":"Cardiocenter, Department of Cardiology, Third Faculty of Medicine, Charles University, Praque, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamil","family":"Fijorek","sequence":"additional","affiliation":[{"name":"Department of Statistics, Cracow University of Economics, Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Kukla","sequence":"additional","affiliation":[{"name":"Department of Cardiology, H. 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Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Baranchuk","sequence":"additional","affiliation":[{"name":"Heart Rhythm Service, Kingston Health Sciences Center, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danuta","family":"Czarnecka","sequence":"additional","affiliation":[{"name":"First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kopernika 17, 31-501 Krak\u00f3w, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,10,9]]},"reference":[{"key":"2019120304004875600_euz275-B1","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1111\/pace.13490","article-title":"His-bundle pacing as a standard approach in patients with permanent atrial fibrillation and bradycardia","volume":"41","author":"Jastrzebski","year":"2018","journal-title":"Pacing Clin 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