Remarkable response to cardiac resynchronization therapy via left bundle branch pacing in patients with true left bundle branch block

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True complete left bundle branch block morphology strongly predicts good response to cardiac resynchronization therapy.

AIMS To determine whether patients with congestive heart failure and true left bundle branch block (LBBB) morphology have better response to cardiac resynchronization therapy (CRT) than do patients without true LBBB. METHODS AND RESULTS We defined true LBBB as conventional LBBB plus QRS duration ≥ 130 ms and mid-QRS notching/slurring in at least two of the leads I, aVL, V1, V2, V5, or V6. We ...

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Cardiac pacing in left bundle branch/bifascicular block patients.

The primary concern in patients with bifascicular block is the increased risk of progression to complete heart block. Further, an additional first-degree A-V block in patients with bifascicular block or LBBB might increase the risk of block progression. Anesthesia, monitoring and surgical techniques can induce conduction defects and bradyarrhythmias in patients with pre-existing bundle branch b...

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Left Bundle Branch Block

Coronary angiography, cine left ventriculography, and the cardiovascular hemodynamics of 24 patients with left bundle branch block were studied. Seven patients were found to have significant coronary artery disease, always severe. Five had cardiomyopathy and seven had valvular disease. Only those with coronary artery disease or cardiomyopathy had abnormal left ventricular contraction patterns. ...

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Left bundle branch block.

A RECENT STUDY of the prognosis of patients with left bundle branch block (L.B.B.B.) suggested that life expectancy was extremely short (Smith and Hayes 1965). While in general L.B.B.B. has a sinister reputation, we have been struck by a few individuals who have survived many years with L.B.B.B., and we thought an analysis of some of the material available at the Royal Victoria Hospital, Belfas...

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Right Bundle-Branch Block and Response to Cardiac Resynchronization Therapy

Cardiac resynchronization therapy (CRT) in appropriately selected patients has been shown to improve cardiac function, heart failure symptoms, and survival.1,2 On the basis of results of large, randomized trials, current American Heart Association/American College of Cardiology/Heart Rhythm Society guidelines recommend consideration of CRT in patients with cardiomyopathy on optimal medical ther...

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ژورنال

عنوان ژورنال: Clinical Cardiology

سال: 2020

ISSN: 0160-9289,1932-8737

DOI: 10.1002/clc.23462