Selective left bundle branch pacing for pediatric complete heart block

Autor: Shunmuga Sundaram Ponnusamy, Giridhar Muthu, Dasarath Bopanna
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Indian Pacing and Electrophysiology Journal, Vol 20, Iss 2, Pp 78-80 (2020)
Druh dokumentu: article
ISSN: 0972-6292
DOI: 10.1016/j.ipej.2019.12.012
Popis: Traditionally Right Ventricle has been the preferred site of pacing for the management of symptomatic brady-arrhythmias. The deleterious effect of chronic RV pacing has been shown by several studies. This has generated interest into a novel pacing strategy called physiological pacing wherein the His bundle or the left bundle is paced directly with 4.1 F pacing lead. Herewith we are reporting a case of congenital complete heart block in a 13-year-old child for whom selective left bundle branch pacing was done. This physiological pacing will ensure a synchronized contraction of the ventricles thereby avoiding the deleterious effect of RV pacing. Keywords: Congenital CHB, Physiological pacing, Left bundle pacing, Left ventricular activation time, LV synchrony
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