Representation of the His Bundle Cloud on a Three-dimensional Electroanatomical Map and Its Implications for His Bundle Pacing

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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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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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The potential and reality of permanent his bundle pacing.

Right ventricular apex pacing can have deleterious effects. Our aims were to investigate how many patients referred for permanent pacing were suitable candidates for permanent His bundle pacing, and to determine the proportion in whom such pacing was successful. All cases of suprahisian block and most cases of infrahisian block (71.4%) were corrected by temporary His bundle pacing. However, per...

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His Bundle Refractoriness.

Multiple points of instruction discussed practically in the context of a challenging case make for a memorable learning experience. In this installment of Teaching Rounds in Cardiac Electrophysiology, Nayyar et al elucidate the unique findings and analysis in such a manner and take us through to diagnosis and a treatment plan that eliminated arrhythmia without having to ablate all of the abnorm...

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His bundle rhythm.

SUMMARY Traditionally the site of impulse formation in so-called A-V nodal rhythms has been considered to be within the upper, middle, and lower portions of the A-V node. In this study, evidence obtained supports the concept that the His bundle and not the A-V node is the pacemaker site in nodal rhythms. His bundle activity was recorded in clinical cases of nodal rhythms and A-V dissociation by...

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ژورنال

عنوان ژورنال: Journal of Innovations in Cardiac Rhythm Management

سال: 2021

ISSN: 2156-3977,2156-3993

DOI: 10.19102/icrm.2021.120507