Intra-Hisian Wenckebach Phenomenon During His Bundle Pacing

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Acute His Bundle Injury during Permanent His Bundle Pacing: Mechanistic Insights into Intra- Hisian Block

Permanent His bundle pacing (HBP) is a physiological alternative to right ventricular pacing. Acute injury to the His bundle can occur during permanent HBP in the form of transient or permanent bundle branch blocks. Observations of mechanical injury to the His bundle during HBP lead fixation and electrophysiological response to HBP provides additional mechanistic insights into the pathology of ...

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Catheter-induced intra-Hisian and intrafascicular block during recording of His bundle electrograms.

or even complete A-V block. Two cases are reported in which catheter-induced transient high grade Mobitz II A-V block, acute reversible prolongation of infranodal conduction time with probable intra-Hisian conduction delay, and persistent (6 hours duration) complete A-V block occurred in patients with left bundle branch block. The observations made indicate that A-V conduction times and the app...

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[Permanent His-bundle pacing in patients with infra-Hisian atrioventricular block].

INTRODUCTION AND OBJECTIVES Permanent His-bundle pacing is effective in patients with supra-Hisian atrioventricular block. We report our experience in patients with infra-Hisian atrioventricular block. METHODS The study involved selected patients referred for syncope and intraventricular conduction disturbance, infra-Hisian atrioventricular block, with left ventricular dyssynchrony and no cor...

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His bundle capture proximal to the site of bundle branch block: A novel pitfall of the para-Hisian pacing maneuver

Paced QRS morphology should be assessed to differentiate between complete loss of His bundle capture and loss of distal His bundle capture alone. This might be enough in patients with proximal right bundle branch block; however, in patients with proximal left bundle branch block, QRS morphology might be similar with loss of His bundle capture and with proximal His bundle capture. Introduction T...

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His Bundle Pacing: Techniques and Outcomes.

Traditional right ventricular pacing prolongs the electrical and mechanical activation of the heart, which reduces the pump function, and in selected patients may lead to pacing-induced heart failure. Pacing the His bundle preserves the normal or near-normal activation pattern of the ventricles that prevents the detrimental effects of right ventricular pacing. This review discusses the techniqu...

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ژورنال

عنوان ژورنال: JACC: Clinical Electrophysiology

سال: 2019

ISSN: 2405-500X

DOI: 10.1016/j.jacep.2018.12.012