Publications by authors named "Baldeep Singh Sidhu"
Background: Left bundle branch area pacing (LBBAP) is a novel form of conduction system pacing which can reverse left bundle branch block and deliver cardiac resynchronization therapy (CRT). The WiSE-CRT system delivers leadless endocardial pacing with symptomatic and left ventricular (LV) remodelling improvements following intervention. We report the technical feasibility of delivering leadless LBBAP using the WiSE-CRT system.
View Article and Find Full Text PDFCardiac resynchronization therapy (CRT) is an effective treatment for dyssynchronous heart failure; however, 30-50% of patients fail to improve after implant. Endocardial left ventricular (LV) pacing is an alternative therapy for patients who do not respond to conventional CRT or in whom placement of a lead via the coronary sinus is not possible. It enables pacing at a wide variety of sites, without restrictions due to coronary sinus anatomy, and there is evidence of superior electrical resynchronization and hemodynamic response compared with conventional epicardial CRT.
View Article and Find Full Text PDFAims: Cardiac resynchronization therapy (CRT) upgrades may be less likely to improve following intervention. Leadless left ventricular (LV) endocardial pacing has been used for patients with previously failed CRT or high-risk upgrades. We compared procedural and long-term outcomes in patients undergoing coronary sinus (CS) CRT upgrades with high-risk and previously failed CRT upgrades undergoing LV endocardial upgrades.
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- The study aims to create a method for detecting cardiac scar tissue using deep convolutional neural networks (CNN) from routine computed tomography angiography (CTA) images, enhancing diagnostic precision without adding significant costs.
- The CNN was trained on a dataset of late gadolinium enhancement (LGE) MRI images, successfully achieving high accuracy in identifying scar slices, and it showed even better performance when tested on independent CTA data.
- This automated scar detection process offers a reliable alternative to existing methods that rely on more complex imaging techniques, making it easier for clinicians to diagnose and guide treatment for cardiac patients.
Introduction: Patient evaluation before cardiac resynchronisation therapy (CRT) remains heterogeneous across centres and it is suspected a proportion of patients with unfavourable characteristics proceed to implantation. We developed a unique CRT preassessment clinic (CRT PAC) to act as a final review for patients already considered for CRT. We hypothesised that this clinic would identify some patients unsuitable for CRT through updated investigations and review.
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