Left bundle branch pacing: An evolving site for physiological pacing.

Autor: Mulia EPB; Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Hospital Surabaya Indonesia., Amadis MR; Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Hospital Surabaya Indonesia., Julario R; Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Hospital Surabaya Indonesia., Dharmadjati BB; Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Hospital Surabaya Indonesia.
Jazyk: angličtina
Zdroj: Journal of arrhythmia [J Arrhythm] 2021 Sep 20; Vol. 37 (6), pp. 1578-1584. Date of Electronic Publication: 2021 Sep 20 (Print Publication: 2021).
DOI: 10.1002/joa3.12638
Abstrakt: For patients with symptomatic bradyarrhythmia, cardiac pacing is the only appropriate treatment option. Electrical and mechanical dyssynchrony caused by traditional right ventricular apical pacing leads to left ventricular dysfunction and atrial arrhythmias. Physiological pacing stimulates natural cardiac conduction, resulting in synchronized ventricular contraction. Even if His bundle pacing (HBP) is an ideal physiological pacing modality, it is technically not always feasible because of high capture thresholds, disease in the distal His bundle, and follow-up troubleshooting issues. Left bundle branch pacing (LBBP) has been proposed as a viable alternative to HBP since it provides lead stability, a low and stable pacing threshold, and correction of distal conduction system disease.
Competing Interests: The authors declare that they have no competing interests.
(© 2021 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.)
Databáze: MEDLINE
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