Permanent His-bundle pacing: seeking physiological ventricular pacing

被引：110

作者：

Barba-Pichardo, Rafael ^{[1
]}

Morina-Vazquez, Pablo ^{[1
]}

Fernandez-Gomez, Juan M. ^{[1
]}

Venegas-Gamero, Jose ^{[1
]}

Herrera-Carranza, Manuel ^{[1
]}

机构：

[1] Juan Ramon Jimenez Hosp, Arrhythmia & Pacing Unit, Huelva, Spain

来源：

EUROPACE | 2010年 / 12卷 / 04期

关键词：

His-bundle pacing; Cardiac resynchronization therapy; Pacemaker; CARDIAC RESYNCHRONIZATION; ATRIOVENTRICULAR-BLOCK; DUAL-CHAMBER; BRANCH-BLOCK; THERAPY;

D O I：

10.1093/europace/euq038

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims Right ventricular apical pacing can have deleterious effects and the His bundle has been widely reported to be an alternative site. This paper presents our experience with permanent His-bundle pacing (HBP). Methods and results Patients referred for pacemaker implants (regardless of block type) were screened to determine if temporary HBP corrected conduction dysfunctions (threshold <= 2.5 V for 1 ms) and provided infra-Hisian 1: 1 conduction of at least 120 s/m. Of the 182 patients selected, HBP corrected conduction dysfunctions in 133 (73%) patients, 42 (32%) of whom were rejected for the permanent procedure due to high thresholds. His-bundle lead implantation was attempted in the remaining 91 patients and was successful in 59 (65% of all attempts, 44% of all possible cases). Conclusion In some patients, permanent HBP may be an alternative to right ventricular apical pacing.

引用

页码：527 / 533

页数：7

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