PO-03-015 HIS BUNDLE PACING: OUTCOME AFTER 10-YEARS FOLLOW-UP
نویسندگان
چکیده
His bundle pacing (HBP) ensures a physiologic ventricular activation and can prevent pacing-induced cardiomyopathy. Published experiences confirm good clinical results on short-term follow-up. Data long-term follow-up are still lacking. to analyze technical outcomes of HBP in an unselected population after very Retrospective analysis 370 patients (mean age 75±8 years; 221 males) with standard indication for implanted from 2003 2012. In 52% selective-HBP was obtained while 48% were non selective-HBP. all cases the performed by lumenless fixed screw lead deflectable sheath C304. The indications AV block 51%, sinus node disease 22%, atrial fibrillation slow rate 25%, heart failure 2%. Ischemic cardiopathy found 84 pts (29%); hypertension 317 (86%) diabetes 108 (29%). Pre-implant QRS 119±30 ms basal mean EF 57±11%. inserted port CRT-P device 162 (44%) pts, DR 183 (49%) channel SR 25 (7%) pts. A back-up right apex or septum 203 (55%) patients. All checked once year. 124 (34%) overstepped 10 years 12.3 ±1.8 years), they analyzed performance. At end follow-up, 61±8% (P=NS) paced 123 ± 27 (P=NS). (8%) had hospitalizations. 26 (21%) died 12.1 ±1.7 years. From point view, 99 (80%) showed performance at last (20%) experienced lead-related problems: 20 (16%) issues (2 severe malfunction required hospitalization due syncope) 5 (4%) lead. devices longevity 6.6 ±2.6 each patient 1.5 ±0.8 replacements. It add catheter 3.6% remaining 205 completed 6.3±2.7 41(11%) lost (died within first month post-implant other centres). is safe feasible practice. system maintains during contraction thus allowing outcome. duration remain normal values.
منابع مشابه
His Bundle Pacing: Techniques and Outcomes.
Traditional right ventricular pacing prolongs the electrical and mechanical activation of the heart, which reduces the pump function, and in selected patients may lead to pacing-induced heart failure. Pacing the His bundle preserves the normal or near-normal activation pattern of the ventricles that prevents the detrimental effects of right ventricular pacing. This review discusses the techniqu...
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ژورنال
عنوان ژورنال: Heart Rhythm
سال: 2023
ISSN: ['1556-3871', '1547-5271']
DOI: https://doi.org/10.1016/j.hrthm.2023.03.1031