Non Selective his Bundle Pacing: As Physiological as S-HBP but Simpler and Faster

We have read with interest Dr. Burri’s Electrocardiographic Analysis for His Bundle Pacing at Implantation and Follow up [1]. A comprehensive guide to understand electrocardiographic (ECG) nuances of (HBP) is presented in this review. The authors, outstanding didactics, describe a well-organized analysis challenging HBP characteristics confirm conduction tissue (selective or non-selective HBP) implant follow-up. Caught our interest, particular, the paragraph where practical pacing benefits (NSHBP) are emphasized. In context we would like point out statement that “ventricular myocardium adjacent atrioventricular septum, near bundle can also result NSHBP”. Above all, paramount clinical importance, when Burri et al. conclude “No significant differences cardiac mechanical synchrony outcome been found between SHBP Our group total agreement these essential features, having abandoned many years ago by developing very simple technique place standard leads para-Hisian area (Figure 1). Concordant “With (NS-HBP), lead usually positioned ventricle site (HB) surrounded proximity myocardial tissue”. That why named “para-Hisian pacing”. daily practice, same time, verify prove physiological capture system monitor online analyzing ECG signal variance [8] (Synchromax®) [2].