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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Wiley
2021
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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) |
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bradycardia His bundle pacing left bundle branch pacing physiological pacing Diseases of the circulatory (Cardiovascular) system RC666-701 |
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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 |
work_keys_str_mv |
AT ekapbmulia leftbundlebranchpacinganevolvingsiteforphysiologicalpacing AT muhammadramadis leftbundlebranchpacinganevolvingsiteforphysiologicalpacing AT rerdinjulario leftbundlebranchpacinganevolvingsiteforphysiologicalpacing AT budibdharmadjati leftbundlebranchpacinganevolvingsiteforphysiologicalpacing |
_version_ |
1718398552246321152 |