Left bundle branch pacing: An evolving site for physiological pacing

Abstract 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...

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Autores principales: Eka P. B. Mulia, Muhammad R. Amadis, Rerdin Julario, Budi B. Dharmadjati
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Lenguaje:EN
Publicado: Wiley 2021
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Acceso en línea:https://doaj.org/article/7ee3d3c91cb14e6a95464cca1a3ff58c
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spelling oai:doaj.org-article:7ee3d3c91cb14e6a95464cca1a3ff58c2021-12-02T08:25:11ZLeft bundle branch pacing: An evolving site for physiological pacing1883-21481880-427610.1002/joa3.12638https://doaj.org/article/7ee3d3c91cb14e6a95464cca1a3ff58c2021-12-01T00:00:00Zhttps://doi.org/10.1002/joa3.12638https://doaj.org/toc/1880-4276https://doaj.org/toc/1883-2148Abstract 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.Eka P. B. MuliaMuhammad R. AmadisRerdin JularioBudi B. DharmadjatiWileyarticlebradycardiaHis bundle pacingleft bundle branch pacingphysiological pacingDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Arrhythmia, Vol 37, Iss 6, Pp 1578-1584 (2021)
institution DOAJ
collection DOAJ
language EN
topic bradycardia
His bundle pacing
left bundle branch pacing
physiological pacing
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle bradycardia
His bundle pacing
left bundle branch pacing
physiological pacing
Diseases of the circulatory (Cardiovascular) system
RC666-701
Eka P. B. Mulia
Muhammad R. Amadis
Rerdin Julario
Budi B. Dharmadjati
Left bundle branch pacing: An evolving site for physiological pacing
description Abstract 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.
format article
author Eka P. B. Mulia
Muhammad R. Amadis
Rerdin Julario
Budi B. Dharmadjati
author_facet Eka P. B. Mulia
Muhammad R. Amadis
Rerdin Julario
Budi B. Dharmadjati
author_sort Eka P. B. Mulia
title Left bundle branch pacing: An evolving site for physiological pacing
title_short Left bundle branch pacing: An evolving site for physiological pacing
title_full Left bundle branch pacing: An evolving site for physiological pacing
title_fullStr Left bundle branch pacing: An evolving site for physiological pacing
title_full_unstemmed Left bundle branch pacing: An evolving site for physiological pacing
title_sort left bundle branch pacing: an evolving site for physiological pacing
publisher Wiley
publishDate 2021
url https://doaj.org/article/7ee3d3c91cb14e6a95464cca1a3ff58c
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AT muhammadramadis leftbundlebranchpacinganevolvingsiteforphysiologicalpacing
AT rerdinjulario leftbundlebranchpacinganevolvingsiteforphysiologicalpacing
AT budibdharmadjati leftbundlebranchpacinganevolvingsiteforphysiologicalpacing
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