Is the left bundle branch pacing a choice to conquer the right bundle branch block?-A case report

被引:7
作者
Chu, Song-Yun [1 ]
Sheng, Qin-Hui [1 ]
Chen, Er-Dong [1 ]
Jin, Han [1 ]
Jiang, Jie [1 ]
Wang, Yu-Ling [1 ]
He, Peng-Kang [1 ]
Zhou, Jing [1 ]
Ding, Yan-Sheng [1 ]
机构
[1] Peking Univ First Hosp, Dept Cardiol, 8 Xishiku St, Beijing 100034, Peoples R China
关键词
electrocardiography; Non-invasive techniques; pacemaker-bradyarrhythmias; physiologic pacing; HIS-BUNDLE;
D O I
10.1111/anec.12797
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In patients with preserved ejection fraction or right bundle branch block (RBBB) pattern requiring a high percentage of ventricular pacing, His-bundle pacing (HBP) might be an alternative to biventricular pacing, although the high threshold occasionally occurs. We provided a case of the intrinsic RBBB correction by capturing intra-Hisian left bundle branch (LBB) or distal His-bundle with different output settings. LBB pacing had the advantage of a much lower threshold while remained most synchrony as HBP. LBB pacing might be a promisingly safe and effective procedure for patients with high-grade atrioventricular (AV) block and RBBB pattern.
引用
收藏
页数:5
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