His-Bundle Pacing Post-Atrioventricular Node Ablation

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Permanent His bundle pacing at the time of atrioventricular node ablation: A 3-dimensional mapping approach

Introduction Cardiac resynchronization therapy (CRT) has shown a significant clinical benefit over right ventricular pacing in patients with left ventricular dysfunction and a high ventricular pacing requirement. Traditionally, CRT has relied on coronary sinus (CS) lead placement through the use of fluoroscopy and venography. Three-dimensional (3D) electroanatomic mapping has been used as an al...

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[Ventricular pacing after atrioventricular node ablation].

We have read with interest the article by Dr. Moriña et al1 describing their initial experience with implantation of active fixation electrodes in the His bundle for permanent ventricular stimulation following ablation of the AV node. Their results are interesting as they establish stimulation threshold parameters and stable echocardiography measures after only a few months followup. Neverthele...

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Permanent His-bundle pacing after atrioventricular node ablation in a patient with chronic atrial fibrillation and mitral regurgitation.

Hemodynamic deterioration because of worsening of mitral regurgitation can occur in a small number of patients undergoing atrioventricular node (AVN) ablation and pacing therapy. Patients with moderate mitral regurgitation before ablation seem prone to this complication. Successful permanent His-bundle pacing after AVN ablation was performed in a patient with chronic atrial fibrillation and mod...

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Cryosurgical Ablation of the A-V Node-His Bundle

A cryosurgical instrument was used to ablate atrioventricular conduction. The procedure was carried out in 20 dogs and subsequently in three patients with drug resistant, life-threatening supraventricular tachycardias. In patients, the cryosurgical unit lowered the temperature of the His bundle area to 0°C, effecting complete but reversible heart block. Rewarming resulted in resumption of norma...

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Benefits of Permanent His Bundle Pacing Combined With Atrioventricular Node Ablation in Atrial Fibrillation Patients With Heart Failure With Both Preserved and Reduced Left Ventricular Ejection Fraction

BACKGROUND Clinical benefits from His bundle pacing (HBP) in heart failure patients with preserved and reduced left ventricular ejection fraction are still inconclusive. This study evaluated clinical outcomes of permanent HBP in atrial fibrillation patients with narrow QRS who underwent atrioventricular node ablation for heart failure symptoms despite rate control by medication. METHODS AND R...

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ژورنال

عنوان ژورنال: JACC: Clinical Electrophysiology

سال: 2019

ISSN: 2405-500X

DOI: 10.1016/j.jacep.2018.10.004