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

页码：104 / 107

页数：4

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