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Table 2 Different features of commercially available automatic optimisation algorithms, according to manufacturers

From: ECG optimisation for CRT systems in the era of automatic algorithms: a comprehensive review

Features

Medtronic AdaptiveCRT

Boston SmartDelay

Biotronik AutoAdapt

Abbott Sync-AV

Microport SonR

LV sensing capable

 + 

 + 

Automatic run during follow-up

 + 

 + 

 + 

 + 

LV preexcitation / LV pacing only

 + 

 + 

 + 

 + fusion with RV always paced

 + fusion with RV always paced

Intrinsic Conduction check

 + 

 + 

 + 

 + 

 + weekly

Check LBBB pattern by EGM timing

 + 

AV delay (A sense -RV sense)

Range 80–140 ms

 + 

At 70% A sense-RV sense

50 ms shorter for each A sense-RV sense

Range 30–250 ms

AV delay (A pace -RV sense)

Range 100–18 ms

 + 

At 70% A pace-RV sense

50 ms shorter for each A pace-RV sense

Range 30–250 ms + Extension 0–125 ms

VV offset

0–40 ms

-Manually fixed

Advance 40 ms for each A sense/pace-RV sense

10–80 ms (in step of 10 ms)

Range 0–48 ms

Hemodynamic sensor

 + 

Validated by available literature

 + 

 + 

 + 

 + 

Available RV pacing minimisation

 + MVP

 + VIP

 + AAI-SafeR

  1. LBBB left bundle branch block; LV left ventricle (pacing); RV right ventricle (pacing); VV offset VV delay programming with LV-RV which means LV pacing advances the RV pacing or the opposite; EGM electrogram; MVP Medtronic automatic algorithm to minimise RV pacing; VIP Abbott automatic algorithm minimise RV pacing; AAI-Safe R Microport automatic algorithm to minimise RV pacing