Hisian pacing restores cardiac function

Abstract We report a 57-year-old male patient with dilated cardiomyopathy, NYHA function class III and complete left bundle branch block (CLBBB) who received cardiac resynchronization therapy using His-bundle pacing (HBP) when a left-ventricular lead could not be placed. In 10 months' follow up...

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Bibliographic Details
Published in:Journal of electrocardiology 2013-11, Vol.46 (6), p.676-678
Main Authors: Wu, Gaojun, MD, Cai, Yongxin, MD, Huang, Weijian, MD, Su, Lan, MD
Format: Article
Language:English
Subjects:
Bundle of His
Cardiac Pacing, Artificial - methods
Cardiac resynchronization therapy
Cardiovascular
Dilated cardiomyopathy
Heart failure
Heart Failure - diagnosis
Heart Failure - prevention & control
His-bundle pacing
Humans
Left bundle branch block
Male
Middle Aged
Treatment Outcome
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Summary:Abstract We report a 57-year-old male patient with dilated cardiomyopathy, NYHA function class III and complete left bundle branch block (CLBBB) who received cardiac resynchronization therapy using His-bundle pacing (HBP) when a left-ventricular lead could not be placed. In 10 months' follow up, his symptoms resolved rapidly, his QRS, left ventricular and left ventricular ejection fraction normalized. Recent reports support the conception that HBP may be an alternative or even better therapy for heart failure patients with CLBBB, especially if biventricular pacing is not feasible.
ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2013.05.003