Biomedical Engineering and Bioengineering Commons^™

Optimizing Electrode Placement For Hemodynamic Benefit In Cardiac Resynchronization Therapy, Charles F. Babbs

Weldon School of Biomedical Engineering Faculty Publications

Background: Research is needed to explore the relative benefits of alternative electrode placements in biventricular and left ventricular pacing for heart failure with left bundle branch block (LBBB). Methods: A fast computational model of the left ventricle, running on an ordinary laptop computer, was created to simulate the spread of electrical activation over the myocardial surface, together with the resulting electrocardiogram, segmental wall motion, stroke volume, and ejection fraction in the presence of varying degrees of mitral regurgitation. Arbitrary zones of scar and blocked electrical conduction could be modeled. Results: Simulations showed there are both sweet spots and poor spots …