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- Publisher
- Oxford University Press
- Copyright
- © Published by Oxford University Press.
- Subject
- CLINICAL RESEARCH
- ISSN
- 1099-5129
- eISSN
- 1532-2092
- DOI
- 10.1093/europace/euq038
- pmid
- 20338988
- Publisher site
- See Article on Publisher Site
Abstract
AimsRight ventricular apical pacing can have deleterious effects and the His bundle has been widely reported to be an alternative site. This paper presents our experience with permanent His-bundle pacing (HBP).Methods and resultsPatients referred for pacemaker implants (regardless of block type) were screened to determine if temporary HBP corrected conduction dysfunctions (threshold 2.5 V for 1 ms) and provided infra-Hisian 1:1 conduction of at least 120 s/m. Of the 182 patients selected, HBP corrected conduction dysfunctions in 133 (73) patients, 42 (32) of whom were rejected for the permanent procedure due to high thresholds. His-bundle lead implantation was attempted in the remaining 91 patients and was successful in 59 (65 of all attempts, 44 of all possible cases).ConclusionIn some patients, permanent HBP may be an alternative to right ventricular apical pacing.
Journal
Europace – Oxford University Press
Published: Apr 1, 2010
Keywords: His-bundle pacing Cardiac resynchronization therapy Pacemaker