Reversal of left bundle branch block–induced cardiomyopathy by His bundle pacing

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Rapid reversal of right ventricular pacing–induced cardiomyopathy by His bundle pacing

Case report A 78-year-old woman with hypertension, paroxysmal atrial fibrillation treated with pulmonary vein isolation 4 years prior, and normal biventricular systolic function presented with symptomatic high-grade heart block with junctional escape rhythm and QRS duration of 84 ms (Figure 1A). She underwent dual-chamber pacemaker implantation with apical RV lead placement and resolution of he...

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RIGHT BUNDLE BRANCH PURKlNJE Flf 3 ERS F BUNDLE OF HIS I LEFT BUNDLE BRANCH MYOCARDIUM

A dom inant tenet in physio logy for m .ore t han half a century h as been the principle of homeostasis. The term was coined by W. B. Cannon (2) to describe the observation that physiological systems normally operate to reduce variability and to maintain a constancy of internal function. Accordingly, one might expect most any physiological variable, including heart rate, to return to its normal...

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His Bundle electrogram in bundle-branch block.

SUMMARY Because a great majority of patients with chronic complete heart block have bilateral bundle-branch lesions, it becomes important to recognize earlier degrees of bilateral bundle-branch block. The H-V interval in the His bundle electrogram during unilateral bundle-branch block reflects the conduction primarily through the contralateral bundle branch, and thus the His bundle electrogram ...

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Overcoming left bundle branch block by permanent His bundle pacing: Evidence of longitudinal dissociation in the His via recordings from a permanent pacing lead

Introduction Narrowing of the QRS and overcoming left bundle branch block (LBBB) with His bundle pacing (HBP) has been previously described. We present the first 2 reported cases of left bundle branch (LBB) delay with evidence of a split His electrogram during unipolar mapping from the tip of the His bundle (HB) lead during pacemaker implantation. These findings suggest that the site of LBB del...

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Successful resynchronization by permanent His-bundle pacing in a patient with pacing-induced cardiomyopathy

Right ventricular (RV) pacing has been reported to result in ventricular dyssynchrony, heart failure, and increased mortality. Pacing associated deterioration of left ventricular (LV) systolic function has been termed pacing-induced cardiomyopathy (PICM). While upgrading to biventricular pacing (BiVP) is an effective therapy for PICM, permanent His-bundle pacing (HBP) can be a physiological alt...

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ژورنال

عنوان ژورنال: Journal of International Medical Research

سال: 2019

ISSN: 0300-0605,1473-2300

DOI: 10.1177/0300060519884188