Conduction System Research Articles

Right ventriculography to guide left bundle branch pacing in pacing-induced cardiomyopathy: a novel case report

Abstract Background There is emerging evidence for the potential utility of left bundle branch area pacing (LBBAP), as an alternative to conventional cardiac resynchronization therapy (CRT). The utility of right ventriculography by way of power injector to facilitate lead placement has not yet been reported in the literature. Case summary A 79-year-old female, with a background of poorly rate-controlled atrial fibrillation, presented with worsening dyspnoea. She had recently undergone single-chamber pacemaker insertion prior to an atrioventricular nodal (AVN) ablation, owing to failure in achieving successful CRT coronary sinus lead placement. She had clinical evidence of volume overload, and her electrocardiogram demonstrated right ventricular pacing. Echocardiography demonstrated left ventricular (LV) impairment, with an ejection fraction (EF) of 35%, and severe functional mitral regurgitation (MR). Her diagnosis was overall consistent with pacing-induced cardiomyopathy (PIC). In this patient, the use of right ventriculography, using power-injector-delivered contrast, successfully facilitated placement of an LBBAP lead, with confirmation of good threshold and sensing parameters. Following an upgrade to conduction system pacing, the patient recovered well. On recent follow-up, repeat echocardiography (24 months post initial presentation) demonstrated improved LV function (EF 45% from 35%) and only mild-to-moderate MR. Discussion In conclusion, we demonstrate the utility of right ventriculography to facilitate placement of an LBBAP lead, successfully treating a patient who developed PIC from chronic right ventricular pacing following AVN ablation.

Predictors of success in left bundle branch area pacing with stylet-driven pacing leads: a multicenter investigation.

Although left bundle branch area pacing (LBBAP) is an emerging conduction system pacing modality, it is unclear which parameters predict procedural success and how many implant attempts are acceptable. This study aimed to assess predictors of successful LBBAP, left bundle branch (LBB) capture, and factors associated with the number of LBBAP implant attempts. This retrospective observational multicenter study was conducted in Korea. LBBAP was attempted in 119 patients; 89.3% of patients had bradyarrhythmia (atrioventricular block 82.4%), and 10.7% of patients had heart failure (cardiac resynchronization therapy) indication. Procedural success and electrophysiological and echocardiographic parameters were evaluated. The acute success rate of lead implantation in LBBAP was 95.8% (114 of 119 patients) and that of LBB capture was 82.4% (98 of 119 patients). Fewer implant attempts were associated with LBBAP success (three or fewer vs. over three times, p = 0.014) and LBB capture (three or fewer vs. over three times, p = 0.010). In the multivariate linear regression, the patients with intraventricular conduction delay (IVCD) required a greater number of attempts than those without IVCD [estimates = 2.33 (0.35-4.31), p = 0.02], and the larger the right atrial (RA) size, the more the attempts required for LBBAP lead implantation [estimates = 2.08 (1.20-2.97), p < 0.001]. An increase in the number of implant attempts was associated with LBBAP procedural failure and LBB capture failure. The electrocardiographic parameter IVCD and the echocardiographic parameter RA size may predict the procedural complexity and the number of lead implant attempts for LBBAP.

Operando Decoding Ion-Conductive Switch in Stimuli-Responsive Hydrogel by Nanodiamond-Based Quantum Sensing.

Thermal-responsive hydrogels are developed as ion-conductive switchs for energy storage devices, however, the molecule mechanism of switch on/off remains unclear. Here, poly(N-isopropylacrylamide-co-acrylamide) hydrogel is synthesized as a model material and nanodiamond (ND) based quantum sensing for phase change study is developed. First, micro-scale phase separation with cross-linked mesh structure after sol-gel transition is visualized in situ and water molecules are trapped by polymer chains and on a chemically "frozen" state. Then, the nano-scale inhomogeneous distributions of viscosity, thermal conductivity and ionic mobility in hydrogel at high temperature are observed by measuring the rotation, translation and zero-field splitting of NDs. Besides, the ionic mobility of hydrogel is found to be dependent not only on temperature but also on polymer concentration. These observations suggested that the physical "wall" induced by inhomogeneous phase separation at microscopic scale blocked the ion conduction pathways, providing a potential intrinsic explanation for ion migration shut-down of ionic hydrogels at high temperature.

PRDM16 determines specification of ventricular cardiomyocytes by suppressing alternative cell fates.

PRDM16 is a transcription factor with histone methyltransferase activity expressed at the earliest stages of cardiac development. Pathogenic mutations in humans lead to cardiomyopathy, conduction abnormalities, and heart failure. PRDM16 is specifically expressed in ventricular but not atrial cardiomyocytes, and its expression declines postnatally. Because in other tissues PRDM16 is best known for its role in binary cell fate decisions, we hypothesized a similar decision-making function in cardiomyocytes. Here, we demonstrated that cardiomyocyte-specific deletion of Prdm16 during cardiac development results in contractile dysfunction and abnormal electrophysiology of the postnatal heart, resulting in premature death. By combined RNA+ATAC single-cell sequencing, we found that PRDM16 favors ventricular working cardiomyocyte identity, by opposing the activity of master regulators of ventricular conduction and atrial fate. Myocardial loss of PRDM16 during development resulted in hyperplasia of the (distal) ventricular conduction system. Hence, PRDM16 plays an indispensable role during cardiac development by driving ventricular working cardiomyocyte identity.

Modulating the Li‐Ion Transport Pathway of Succinonitrile‐Based Plastic Crystalline Electrolytes for Solid‐State Lithium Metal Batteries

AbstractSuccinonitrile (SCN) based plastic crystal electrolytes (SPCEs) have attracted much attention for lithium metal batteries due to their considerable ionic conductivity and thermal stability. Insufficient mechanical properties, weak reductive stability, and the presence of free SCN molecules can result in adverse interfacial reactions. Polymer introduction has been explored to address these challenges. However, the introduction of polymer affects the SCN state, leading to reduced ionic conductivity, potentially due to limited segmental motion of the polymer at room temperature. Herein, a cross‐linked network polymer strategy is proposed to modify the Li‐ion transport pathway in SPCE, aiming to significantly improve the ionic conductivity. The strong interaction between the polymer matrix and SCN enhances their mutual solubility, reduces the crystallinity of SCN, and forms a rapid conduction pathway (polymer—[SCN—Li+]). The ionic conductivity of SPCE increases to 1.28 mS cm−1, with the Li‐ion migration number (tLi+ ) also rising to 0.7. Electrochemical performances in Li symmetrical, Li||LiFePO4 and Li||LiNi0.8Co0.1Mn0.1O2 cells show significant improvement at both room temperature and 0 °C. These findings suggest that designing polymer network structures in SPCEs holds promise for solid‐state lithium metal battery applications.

Heterogeneous interface engineering of spindle shaped Fe/C through optimizing impedance response for enhanced microwave absorption and thermal conductivity

Heterogeneous interface design is pivotal in creating lightweight, broadband, and high-efficiency electromagnetic wave (EMW) absorption materials. These materials enhance wave absorption by adaptively matching impedance. In this study, spindle-shaped Fe/C nanocomposites with heterogeneous interfaces and diverse surface microtopographies were synthesized by calcining iron-supported metal-organic frameworks (MOFs). During controlled pyrolysis, Fe3+ was reduced by carbon and conversely induced the graphitization of carbon, which is essential for the distribution and appearance of Fe and graphitized carbon as well as for modulating impedance matching. The porous structure of the Fe/C composites and the polarization loss and ferromagnetic resonance from the defective carbon and Fe magnetic particles synergistically enhance the wave absorption performance. The Fe/C-700 nanocomposite achieves a reflection loss (RL) of −55.9 dB at 12.48 GHz with an effective absorption bandwidth (EAB, RL ≤ −10 dB) of 3.9 GHz at 1.8 mm. The Fe/C-900 nanocomposite demonstrates a significant RL of −63.5 dB at 15.8 GHz with an EAB of 4.4 GHz between 13.6 GHz and 18 GHz at 1.5 mm, and an EAB of 5.5 GHz at 1.63 mm. These improvements are attributed to the impedance matching facilitated by the introduction of Fe magnetic particles and graphitized carbon. Additionally, the thermal conduction pathway formed among the Fe/C nanocomposites significantly enhances the thermal conductivity to 0.502 W m−1 K−1. Thus, this work offers a novel approach to the design of advanced wave-absorbing and thermal conductive materials by optimizing impedance through heterogeneous interfaces.

Issues Concerning the Mechanisms of Bone Conduction.

Air and bone conduction thresholds are used to differentiate between conductive and sensori-neural hearing losses because bone conduction is thought to bypass the conductive apparatus, directly activating the inner ear. However, the suggested bone conduction mechanisms involve the outer and middle ears. Also, normal bone conduction thresholds have been reported in cases of lesions to the conduction pathway. Therefore, further investigation of bone conduction mechanisms is required.

Exploring the Activation Process of the Glycine Receptor.

Glycine receptors (GlyR) conduct inhibitory glycinergic neurotransmission in the spinal cord and the brainstem. They play an important role in muscle tone, motor coordination, respiration, and pain perception. However, the mechanism underlying GlyR activation remains unclear. There are five potential glycine binding sites in α1 GlyR, and different binding patterns may cause distinct activation or desensitization behaviors. In this study, we investigated the coupling of protein conformational changes and glycine binding events to elucidate the influence of binding patterns on the activation and desensitization processes of α1 GlyRs. Subsequently, we explored the energetic distinctions between the apical and lateral pathways during α1 GlyR conduction to identify the pivotal factors in the ion conduction pathway preference. Moreover, we predicted the mutational effects of the key residues and verified our predictions using electrophysiological experiments. For the mutants that can be activated by glycine, the predictions of the mutational directions were all correct. The strength of the mutational effects was assessed using Pearson's correlation coefficient, yielding a value of -0.77 between the calculated highest energy barriers and experimental maximum current amplitudes. These findings contribute to our understanding of GlyR activation, identify the key residues of GlyRs, and provide guidance for mechanistic studies on other pLGICs.

A Super-Ionic Solid-State Block Copolymer Electrolyte.

Polymer solid-state electrolytes offer great promise for battery materials with high energy density, mechanical stability, and improved safety. However, their low ion conductivities have so far limited their potential applications. Here, it is shown for poly(ethylene oxide) block copolymers that the super-stoichiometric addition of lithium bis(trifluoromethanesulfonyl) imide (LiTFSI) as lithium salt leads to the formation of a crystalline PEO block copolymer phase with exceptionally high ion conductivities and low activation energies. The addition of LiTFSI further induces block copolymer phase transitions into bi-continuous Fddd and gyroid network morphologies, providing continuous 3D conduction pathways. Both effects lead to solid-state block copolymer electrolyte membranes with ion conductivities of up to 1·10-1Scm-1 at 90°C, decreasing only moderately to 4·10-2Scm-1 at room temperature, and to >1·10-3Scm-1 at -20°C, corresponding to activation energies as low as 0.19eV. The co-crystallization of PEO and LiTFSI with ether and carbonate solvents is observed to play a key role to realize a super-ionic conduction mechanism. The discovery of PEO super-ionic conductivity at high lithium concentrations opens a new pathway for fabrication of solid polymer electrolyte membranes with sufficiently high ion conductivities over a broad temperature range with widespread applications in electrical devices.

Computational modelling of mouse atrio ventricular node action potential and automaticity.

The atrioventricular node (AVN) is a crucial component of the cardiac conduction system. Despite its pivotal role in regulating the transmission of electrical signals between atria and ventricles, a comprehensive understanding of the cellular electrophysiological mechanisms governing AVN function has remained elusive. This paper presents a detailed computational model of mouse AVN cell action potential (AP). Our model builds upon previous work and introduces several key refinements, including accurate representation of membrane currents and exchangers, calcium handling, cellular compartmentalization, dynamic update of intracellular ion concentrations, and calcium buffering. We recalibrated and validated the model against existing and unpublished experimental data. In control conditions, our model reproduces the AVN AP experimental features, (e.g. rate=175bpm, experimental range [121, 191]bpm). Notably, our study sheds light on the contribution of L-type calcium currents, through both Cav1.2 and Cav1.3 channels, in AVN cells. The model replicates several experimental observations, including the cessation of firing upon block of Cav1.3 or INa,r current. If block induces a reduction in beating rate of 11%. In summary, this work presents a comprehensive computational model of mouse AVN cell AP, offering a valuable tool for investigating pacemaking mechanisms and simulating the impact of ionic current blockades. By integrating calcium handling and refining formulation of ionic currents, our model advances understanding of this critical component of the cardiac conduction system, providing a platform for future developments in cardiac electrophysiology. KEY POINTS: This paper introduces a comprehensive computational model of mouse atrioventricular node (AVN) cell action potentials (APs). Our model is based on the electrophysiological data from isolated mouse AVN cells and exhibits an action potential and calcium transient that closely match the experimental records. By simulating the effects of blocking specific ionic currents, the model effectively predicts the roles of L-type Cav1.2 and Cav1.3 channels, T-type calcium channels, sodium currents (TTX-sensitive and TTX-resistant), and the funny current (If) in AVN pacemaking. The study also emphasizes the significance of other ionic currents, including IKr, Ito, IKur, in regulating AP characteristics and cycle length in AVN cells. The model faithfully reproduces the rate dependence of action potentials under pacing, opening the possibility of use in impulse propagation models. The population-of-models approach showed the robustness of this new AP model in simulating a wide spectrum of cellular pacemaking in AVN.

Metal-Free Polymer-Based Current Collector for High Energy Density Lithium-Metal Batteries.

The energy density of lithium-metal batteries (LMBs) relies substantially on the thickness of the lithium-metal anode. However, a bare, thin lithium foil electrode is vulnerable to fragmentation due to the inhomogeneity of the lithium stripping/plating process, disrupting the electron conduction pathway along the electrode. Accordingly, the current collector is an integral part to prevent the resulting loss of electronic conductivity. However, the common use of a heavy and lithiophobic Cu current collector results in a great anode mass increase and unsatisfactory lithium plating behavior, limiting both the achievable specific energy and the cycle life of LMBs. Herein, a metal-free polymer-based current collector is reported that allows for a substantial mass reduction, while simultaneously extending the cycle life of the lithium-metal anode. The specific mass of the ultra-light, 10µm thick polymer-based current collector is only 1.03mg cm-2, which is ≈11% of a 10 µm thick copper foil (8.96mg cm-2). As a result, LMB cells employing this novel current collector provide a specific energy of 448Wh kg-1, which is almost 18% higher than that of LMBs using the copper current collector (378Wh kg-1), and a greatly enhanced cycle life owing to a more homogeneous lithium deposition.

Stylet-driven Leads or Lumenless Leads for Conduction System Pacing.

Stylet-driven leads have been recently introduced for conduction system pacing, while most of the previous experience has been obtained with lumenless leads. Design and structural characteristics of both lead types are significantly different, resulting in different implant techniques and independent learning curves. Lead performance appears to be comparable, whereas data on direct comparison of clinical outcomes are scarce. Currently, there are no specific clinical scenarios favouring the use of one lead type over another and the decision should rely on the individual experience of the implanter.

Prevention of bacterial adhesion in water conduction systems using vanillin-functionalized grates

Pathogenic microorganisms can adhere to the surfaces of water conducting systems, finally resulting in biofilm structures. Considering the importance of the adhesion capability of cells and the biofilm formation in these surfaces, their inhibition by using naturally occurring antimicrobial compounds can be a potential alternative or complement to water chlorination. This work aimed to study the antiadhesive capability of vanillin-functionalized stainless-steel surfaces against bacteria present in low-pressure water distribution network. Stainless-steel surfaces were pretreated (by sanding or polishing) and activated, allowing the covalent anchoring of vanillin to the stainless-steel. Characterization of functionalized surfaces, by macroscopic, microscopic, and elemental analysis confirmed the efficiency of the vanillin anchoring protocol. Subsequently, in vitro antiadhesive capability assays were performed with Staphylococcus epidermidis as a model microorganism to assess the antiadhesiveness capacity of the functionalized surfaces. This assay allowed the confirmation of the capacity of vanillin-functionalized surfaces to prevent the adhesion of S. epidermidis to the stainless-steel surfaces. Finally, grates were functionalized and placed in low-pressure water conduction pipes in the city of Valencia, Spain. After placement, samples of the biofilm adhered to the grates were taken at certain times and analyzed through metagenomic analysis. The results showed statistically significant differences in both the amount and type of bacterial strains adhered to vanillin-functionalized and non-functionalized grates. These findings demonstrated for the first time the potential application of vanillin-functionalized stainless-steel surfaces in water conduction systems to avoid the adhesive ability of bacteria, preventing their contamination and/or biofilm formation.

Acute myocardial infarction in a patient with permanent left bundle branch pacing

BackgroundElectrocardiographic diagnosis of acute myocardial infarction in the setting of cardiac pacing represents diagnostic challenge. There are no focusing data, neither reporting about diagnostic sensitivity of 12‑lead ECG with left bundle branch area pacing (LBBAP) during acute myocardial infarction (AMI). Case summaryWe present 12‑lead ECG morphology in a patient with permanent LBBAP during AMI. DiscussionAbnormal repolarization changes induced by ventricular pacing can lead to delay in diagnosis in patients with AMI. LBBAP and overall conduction system pacing may facilitate a timely diagnosis providing additional, still underestimated, advantages of physiological pacing of the heart.

Development and initial evaluation of a rigid rhinoscopy model as a pedagogic tool in veterinary medicine.

No model exists to train the handling skills required for successful performance of rigid rhinoscopy in veterinary patients. The complex anatomy of the nasal cavity, the limited space between turbinates, and the propensity of the mucosa to bleed with slight trauma make thorough examination of a nasal cavity difficult. The goal of this study was development and initial testing of a low fidelity canine rigid rhinoscopy training model for veterinary novices. A model comprising three tubes of various lumen diameters that were connected to a conduction system was created. Each tube contained three colored stars and a number that were to be described by trainees. The model both counted contacts and audibly beeped if pressure was applied by the rhinoscope to the sides of the tube. Board-certified veterinary internists (experts) and veterinary students (novices) performed two timed simulation exercises during a single session. Participants completed a questionnaire before and after the simulations to assess model utility. There were no statistically significant differences in contacts or time to completion between novices and experts. Novices provided feedback that the model improved their ability to control the rhinoscope, helped them learn to perform rigid rhinoscopy, was enjoyable, and was appropriately challenging. Expert feedback included that the model was a potentially useful pedagogic tool for training rigid rhinoscopy, including hand control and indirect hand-eye coordination, and was appropriately challenging. We conclude that this rhinoscopy model has potential to be an effective teaching tool for novice rhinoscopists. With minor modifications, the model could provide additional challenges.

Etiologies of atrioventricular block in young patients: A single-center study in China.

Atrioventricular block (AVB) is common in the elderly and therefore considered to be a degenerative disease of the cardiac conduction system. However, there exist other etiologies contributing to AVB in young patients. This study aimed to determine the etiologies in patients aged before 60 years receiving their first pacemaker implantation for AVB in China. Medical records and diagnostic tests of AVB patients were reviewed to identify the etiologies between 2010 and 2021 at Guangdong Provincial People's Hospital. Eight hundred and twenty-six patients (median age 47 years; 47.9% males) were included. The etiologies were identified in 336 (40.7%) cases, including complications to cardiac surgery (n=190 [23.0%]), myocarditis (n=57 [6.9%]), myocardial infarction (n=25 [3.0%]), complications to catheter-based interventional procedures (n=21 [2.5%]) and others (n=43 [5.2%]). AVB caused by myocardial infarction was more common in men (5.8%vs. 0.5%, p<.001), while women received pacing treatment earlier (48vs. 46 years, p=.019). Men were more likely to suffer from dilated cardiomyopathy (6.6%vs. 2.1%, p=.001) and atrial fibrillation/flutter (23.0%vs. 12.8%, p<.001). The number of first pacemaker implantation increased with age especially among patients with unclear etiologies. The etiology of AVB was only determined in approximately 40% of patients receiving their first pacemaker implantation aged before 60 years. The predominance of AVB with unknown etiology and potential gender differences warrants further studies.

In situ multilevel covalent crosslinking binder with high ionic conductivity for high-performance Si anodes

Silicon (Si) anode has emerged as a promising material for high-energy-density lithium-ion batteries (LIBs), thanks to its high theoretical capacity. However, the commercial application of Si anodes is hindered by inadequate cycling performance and poor interfacial stability, stemming from unfavorable stress conditions. In this study, a multiple crosslinking binder with high ionic conductivity is proposed combining high mechanical strength and high adhesion to current collector and active Si particles by coupling poly(acrylic acid), polyvinyl alcohol, and polyethylene glycol. The designed polymer binder not only efficiently dissipates the inner stress with its multiple crosslinked networks, but also establishes a fast lithium-ion conduction pathway to facilitate the electrode reaction kinetic. The resultant Si anode using the designed binder exhibits significantly improved cycling stability and superior rate performance. This work presents a straightforward yet highly effective method to alleviate the detrimental stress incurred by high-capacity anodes in high-energy LIBs.

NiCo@EG-based composite PCMs with boosted thermal conductivity and photothermal conversion efficiency for solar energy harvesting

The application of phase change materials (PCMs) in solar energy is hampered by challenges such as insufficient photothermal conversion efficiency, low thermal conductivity and leakage. In this study, a novel composite PCMs based on NiCo@EG were prepared to solve the problems of low thermal conductivity, high leakage rate and inefficient photothermal performance. The NiCo@EG is obtained through calcination of the product of Ni-Co-BTC in-situ on expanded graphite (EG). In the composite PCMs, the octadecanol (OD) acts as a latent heat storage unit, the EG retains its porous network structure as an encapsulating skeleton. The nickel and cobalt nanoparticles derived from Ni-Co-BTC bimetallic organic frameworks are uniformly fixed on the surface of the EG, which could not only construct multiple thermal conduction pathways, but also enhance the photon-trapping ability. Benefiting from the synergy effect of nickel, cobalt metal nanoparticles and EG, the prepared OD/NiCo@EG-550 composite PCMs display high latent heat (168.3 J/g), excellent photothermal conversion efficiency (98.71 %), and improved thermal conductivity of 12.873 W/(m·K). Furthermore, the composite PCMs demonstrate exceptional shape stability, thermal stability, and robust thermal reliability. In summary, the high-efficiency photothermal composite PCMs display significant potential in improving the utilization of solar energy.

Review of Atrioventricular Node Ablation Combined with Permanent His-Purkinje Conduction System Pacing in Patients with Atrial Fibrillation with Heart Failure.

With the advancement of pacing technologies, His-Purkinje conduction system pacing (HPCSP) has been increasingly recognized as superior to conventional right ventricular pacing (RVP) and biventricular pacing (BVP). This method is characterized by a series of strategies that either strengthen the native cardiac conduction system or fully preserve physical atrioventricular activation, ensuring optimal clinical outcomes. Treatment with HPCSP is divided into two pacing categories, His bundle pacing (HBP) and left bundle branch pacing (LBBP), and when combined with atrioventricular node ablation (AVNA), can significantly improve left ventricular (LV) function. It effectively prevents tachycardia and regulates ventricular rates, demonstrating its efficacy and safety across different QRS wave complex durations. Therefore, HPCSP combined with AVNA can alleviate symptoms and improve the quality of life in patients with persistent atrial fibrillation (AF) who are unresponsive to multiple radiofrequency ablation, particularly those with concomitant heart failure (HF) who are at risk of further deterioration. As a result, this "pace and ablate" strategy could become a first-line treatment for refractory AF. As a pacing modality, HBP faces challenges in achieving precise localization and tends to increase the pacing threshold. Thus, LBBP has emerged as a novel approach within HPCSP, offering lower thresholds, higher sensing amplitudes, and improved success rates, potentially making it a preferable alternative to HBP. Future large-scale, prospective, and randomized controlled studies are needed to evaluate patient selection and implantation technology, aiming to clarify the differential clinical outcomes between pacing modalities.

Protruding Boron Nitride Nanotubes on the Al2O3 Surface Enabled by Tannic Acid-Assisted Modification to Fabricate a Thermal Conductive Epoxy/Al2O3 Composite.

Over the past few years, the ability to efficiently increase boron nitride nanotube (BNNT) production has opened up ample research possibilities. BNNT has garnered significant attention for diversifying its industrial applications. However, the problem of poor processability resulting from agglomeration and uneven distribution has emerged as a major challenge to integrating BNNT into the polymer matrix for composite material formation. Utilizing noncovalently attached molecules with various reactive sites can be a logical method to enhance the compatibility of BNNT with different polymers. The present study explored a simple approach to protruding BNNT onto the surface of Al2O3 through tannic acid (TA)-assisted generation of alkyl chains (octadecylamine, ODA) to fabricate Al2O3@ODA-BNNT. The subsequent compounding of Al2O3@ODA-BNNT with epoxy polymer generates interconnected thermal conduction pathways, thereby improving the thermal conduction and mechanical performance of the composites. The current research approach allows for the even distribution of BNNT throughout the polymer matrix, as demonstrated by optical characterization, mechanical performance analysis, and isotropic thermal conductivity analysis. The fabricated epoxy composite by incorporating a 2 wt % (BNNT = 1.3 wt % and ODA = 0.7 wt %) ODA-BNNT exhibited 5.117 W/mK thermal conductivity and 7.43 MPa mechanical stress. Thermal conductivity improved by 2528, 76.56, and 54.7%, while mechanical stress enhanced by 270, 221, and 34% compared to neat polymers without BNNT and virgin BNNT epoxy composites, respectively.