Successful resynchronization by permanent His-bundle pacing in a patient with pacing-induced cardiomyopathy
نویسندگان
چکیده
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 alternative to BiVP. We present a patient with PICM who responded dramatically to permanent HBP.
منابع مشابه
Hyper-response to cardiac resynchronization with permanent His bundle pacing: Is parahisian pacing sufficient?
The feasibility of resynchronizing ventricular activation by permanent pacing of the His bundle region has been previously described, and has clinical advantages over traditional right ventricular (RV) apical pacing.1–4 The physiologic benefit of permanent His bundle pacing (HBP) is the ability to stimulate the ventricles through the intrinsic His-Purkinje system, which results in synchronous e...
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