His bundle pacing: Clinical consequences of unnecessary right ventricle backup pacing

被引：2
作者：
Marinaccio, Leonardo [1 ]
Giacopelli, Daniele [2 ,3 ]
Marchese, Domenico [1 ]
Vetta, Francesco [4 ]
机构：
[1] Presidio Ospedaliero Piove Sacco, Dept Cardiol, Piove Di Sacco, PD, Italy
[2] Biotronik Italia, Clin Unit, Vimodrone, MI, Italy
[3] Univ Padua, Dept Cardiac Thorac Vasc Sci & Publ Hlth, Padua, Italy
[4] St Camillus Int Univ Hlth Sci, Rome, Italy
来源：
JOURNAL OF ELECTROCARDIOLOGY | 2020年 / 63卷
关键词：
Backup pacing; His bundle pacing; Programing; Troubleshooting;
D O I：
10.1016/j.jelectrocard.2020.10.016
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
As a backup lead in right ventricle (RV) is often used in His-bundle pacing (HBP) implants, in sinus rhythm patients the His lead is connected to the left ventricular (LV) port of a CRT device. In current devices, the backup pacing will be delivered 100% of time due to cross-channel ventricular refractory periods. Beyond an impact on battery, unnecessary RV pacing could find excitable tissue and capture a portion of the myocardium tissue potentially reducing the benefits of physiological HBP as shown in this case report where the switch from biventricular to LV-only pacing improved acute and 2-month echocardiography parameters. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码：104 / 107
页数：4
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