Selective left bundle branch pacing for pediatric complete heart block

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...

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Detalles Bibliográficos
Autores principales: Ponnusamy, Shunmuga Sundaram, Muthu, Giridhar, Bopanna, Dasarath
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082648/
https://www.ncbi.nlm.nih.gov/pubmed/31866553
http://dx.doi.org/10.1016/j.ipej.2019.12.012
Descripción
Sumario: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.

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