{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:10:14Z","timestamp":1773295814599,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Left bundle branch area pacing (LBBaP) as an alternative method for delivering physiological pacing, is difficult for many primary hospitals that lack the electrophysiological multichannel recorder to carry out. We hope to find a simple and feasible method that combines the multi\u2010lead surface electrocardiogram (ECG) monitoring and the intracavity ECG of the pacing programmer to achieve LBBaP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 50 patients with bradycardia indications who attempted permanent pacemaker implantation were included in this study. We referred to multi\u2010lead surface ECG monitoring and pacing system analyzer (PSA), combined with the nine\u2010zone pacing method of the LBBaP, to complete LBBaP. We assessed multiple parameters to verify whether the LBBaP was successfully achieved and used univariable analysis of variance for repeated measures to judge the feasibility and effectiveness of LBBaP without the electrophysiological multichannel recorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>LBBaP was successfully archived without the electrophysiological multichannel recorder in 44 of 50 patients (88%). In the study, paced QRS duration and the stimulus to peak left ventricular activation time (Sti\u2010LVAT) were 117.04\u00a0\u00b1\u00a010.34\u00a0ms and 71.10\u00a0\u00b1\u00a07.91\u00a0ms and had no significant changes in the 3\u2010month follow\u2010up. The unipolar pacing threshold and R\u2010wave amplitudes were 0.85\u00a0\u00b1\u00a00.32\u00a0V and 10.36\u00a0\u00b1\u00a05.24\u00a0mV at baseline respectively, which also showed stability during the 1\u2010month and 3\u2010month follow\u2010up. During the 3\u2010month follow\u2010up, no lead\u2010related complication was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is effective and feasible to achieve LBBaP combining the multi\u2010lead ECG monitoring and the intracavitary ECG of PSA without the electrophysiological multichannel recorder, which could be an alternative to perform LBBaP.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14676","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T03:58:36Z","timestamp":1676433516000},"page":"205-216","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The effectiveness and feasibility of using multi\u2010lead ECG monitoring combined with a programmed intracavitary ECG to complete left bundle branch area pacing"],"prefix":"10.1111","volume":"46","author":[{"given":"Min","family":"Wang","sequence":"first","affiliation":[{"name":"Department of 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