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author:

Li, D. (Li, D..) [1] | Wang, Z. (Wang, Z..) [2] | Wang, H. (Wang, H..) [3] | Hang, Pun, S. (Hang, Pun, S..) [4] | Un, Mak, P. (Un, Mak, P..) [5] | Zhang, A. (Zhang, A..) [6] | Liu, Y. (Liu, Y..) [7] | Li, H.-C. (Li, H.-C..) [8] | Gao, Y. (Gao, Y..) [9] | Du, M. (Du, M..) [10] | Vai, M.I. (Vai, M.I..) [11]

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Abstract:

Leadless pacemakers (LCPs) have emerged as a viable solution to mitigate the side effects associated with traditional pacing leads. Nevertheless, the absence of suitable intracardiac communication methods restricts most LCPs to single-chamber pacing. Galvanic conductive communication (GCC) offers a promising approach for achieving intracardiac communication in multichamber LCPs. However, impedance mismatch between the receiver and myocardium during the cardiac cycle can lead to a reduction in path gain, thereby affecting communication stability. This article proposed a dynamic compensation method to reduce impedance mismatch and enhance communication stability. We developed a simplified LCP system with dynamic path gain compensation and validated it on an ex vivo porcine heart dynamic experimental platform. The results demonstrated a path gain improvement of 9.23 dB and a reduction in path gain variation from 3.95 to 0.3 dB. Additionally, the bit error rate (BER) decreased by over 50% across various transmission rates, with the most significant improvement observed at 5 kbps, where it decreased by 82.7%. These findings provide a high-reliability solution for intracardiac communication and establish a foundation for future multichamber sequential pacing applications in LCPs.  © 2025 IEEE.

Keyword:

Dynamic compensation galvanic conductive communications (GCCs) impedance matching leadless pacemakers (LCPs)

Community:

  • [ 1 ] [Li D.]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, Macao
  • [ 2 ] [Wang Z.]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, Macao
  • [ 3 ] [Wang H.]Fuzhou University, College of Physical and Information Engineering, International Joint Laboratory on Health Intelligent Monitoring Systems, Fujian, Fuzhou, 350108, China
  • [ 4 ] [Hang Pun S.]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, Macao
  • [ 5 ] [Un Mak P.]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, Macao
  • [ 6 ] [Zhang A.]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, Macao
  • [ 7 ] [Liu Y.]Tianjin University, School of Microelectronics, Tianjin, 300072, China
  • [ 8 ] [Li H.-C.]Joint Laboratory of Zhuhai UM Science and Technology, Research Institute-Lingyange Semiconductor Inc., Zhuhai, 519031, China
  • [ 9 ] [Gao Y.]Fuzhou University, College of Physical and Information Engineering, International Joint Laboratory on Health Intelligent Monitoring Systems, Fujian, Fuzhou, 350108, China
  • [ 10 ] [Du M.]Fuzhou University, College of Physical and Information Engineering, International Joint Laboratory on Health Intelligent Monitoring Systems, Fujian, Fuzhou, 350108, China
  • [ 11 ] [Vai M.I.]University of Macau, State Key Laboratory of Analog and Mixed-Signal VLSI, Macao

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Source :

IEEE Transactions on Instrumentation and Measurement

ISSN: 0018-9456

Year: 2025

Volume: 74

5 . 6 0 0

JCR@2023

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ESI Highly Cited Papers on the List: 0 Unfold All

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30 Days PV: 0

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