Year: 2025 | Month: November | Volume: 12 | Issue: 11 | Pages: 402-408
DOI: https://doi.org/10.52403/ijrr.20251143
Using Coronary Guidewires for Temporary Cardiac Pacing and Evaluating Heart Muscle Health: Present Insights and Future Possibilities
Kothwala Dr. Deveshkumar, Lad Hirenkumar, Vishvakarma Akash
Meril Medical Innovations Private Limited, Bilakhia House, Survey No.879, Muktanand Marg, Chala, Vapi, Dist- Valsad, 396191, India
Corresponding Author: Kothwala Dr. Deveshkumar
ABSTRACT
Coronary guidewires, which are routinely used in percutaneous coronary intervention (PCI), can also be modified to provide temporary pacing to the ventricles of the heart. With these wires, one can record electrical signals from within the coronary arteries, a method that referred to as transcoronary electrophysiology. This technique may assist physicians in evaluating if the heart muscle (myocardium) remains alive and functional (myocardial viability) and may aid in rapid decision-making within the procedure itself. Although some small studies have demonstrated this technique to be safe for acute pacing, further study is necessary to enhance the method and verify its usefulness in testing heart muscle viability. This is a discussion of how transcoronary electrophysiological information could be utilized to assess myocardial viability.
Keywords: Myocardial viability, Transcoronary Pacing, Intracoronary ECG, Electrophysiology, Percutaneous Coronary Intervention.
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