Transient left bundle branch block due to massive increase of His bundle pacing threshold associated with acute heart failure in a patient with complete heart block
Autor: | Toru Yatsuhashi, Yoji Iida, Tomoaki Izawa, Chikara Kobari, Nobuyuki Makishima |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Heart block medicine.medical_treatment Cardiac resynchronization therapy Case Report Heart failure 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Lv dysfunction His bundle pacing Complete heart block Medicine In patient Transient (computer programming) 030212 general & internal medicine business.industry Left bundle branch block medicine.disease Bundle Cardiology Cardiology and Cardiovascular Medicine business |
Zdroj: | HeartRhythm Case Reports |
ISSN: | 2214-0271 |
Popis: | Transient left bundle branch block (LBBB) may occur in association with high left ventricular (LV) filling pressure and/or global systolic LV dysfunction in patients with heart failure.1 We herein present a patient who had undergone permanent His bundle pacing (HBP) for complete infranodal heart block and developed transient LBBB because of a massive increase in the His bundle (left bundle) pacing threshold [ie, HB(LB) pacing threshold] associated with acute heart failure. Maintenance of electrical synchrony with recruitment of LBBB at higher pacing output might have led to prompt myocardial recovery and improvement of the HBP threshold. |
Databáze: | OpenAIRE |
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