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Permanent Bi-Bundle Pacing in a Patient With Heart Failure and Left Bundle Branch Block

Left bundle branch pacing (LBBP) is effective in patients with heart failure, left ventricular ejection fraction (LVEF) of ≤35%, and a widened QRS complex. LBBP leads to iatrogenic incomplete right bundle branch block (iRBBB). Bi-bundle pacing can resolve iRBBB, further narrowing the QRS duration, a...

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Detalles Bibliográficos
Autores principales: Vezi, Brian, Akinrimisi, Olumuyiwa P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9847235/
https://www.ncbi.nlm.nih.gov/pubmed/36684035
http://dx.doi.org/10.1016/j.jaccas.2022.101688
Descripción
Sumario:Left bundle branch pacing (LBBP) is effective in patients with heart failure, left ventricular ejection fraction (LVEF) of ≤35%, and a widened QRS complex. LBBP leads to iatrogenic incomplete right bundle branch block (iRBBB). Bi-bundle pacing can resolve iRBBB, further narrowing the QRS duration, and may improve LVEF. (Level of Difficulty: Advanced.)