Left bundle branch pacing: A comprehensive review.
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Additional excerpts
...Chronic right ventricular (RV) pacing is known to cause deleterious effects in the form of atrial arrhythmias, left ventricular (LV) dysfunction, and recurrent heart failure hospitalization.(1) The alternative sites such as septum and RV outflow tract have not shown consistent results in improving the clinical outcomes....
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605 citations
"Left bundle branch pacing: A compre..." refers background in this paper
...Chronic right ventricular (RV) pacing is known to cause deleterious effects in the form of atrial arrhythmias, left ventricular (LV) dysfunction, and recurrent heart failure hospitalization.1 The alternative sites such as septum and RV outflow tract have not shown consistent results in improving the clinical outcomes.2,3 His bundle pacing (HBP) has emerged as an ideal form of physiological pacing, as it activates the normal cardiac conduction system resulting in synchronized contraction of ventricle, thereby avoiding RV pacing‐related complications.4 Deshmukh et al.5 first reported the feasibility of permanent HBP using conventional RV leads with manually shaped stylets....
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...Deshmukh et al.(5) first reported the feasibility of permanent HBP using conventional RV leads with manually shaped stylets....
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450 citations
370 citations
"Left bundle branch pacing: A compre..." refers methods in this paper
...Though several studies have shown its feasibility and efficacy, concerns regarding lead stability, higher threshold, and early battery depletion has limited its widespread clinical application.6 Huang et al.,7 first demonstrated the direct capture of left bundle (LB) by placing the lead deep inside the septum resulting in synchronized activation of ventricles....
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...However, HBP at high output by dual‐lead technique as suggested by Huang et al.(10) with a second 3830 lead will correct LBBB and restore LB activation to produce LB potential....
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...5‐ms pulse width).(10) Commonly, the 4....
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...Huang et al.28 reported 97% success rate in a prospective multicenter study involving 63 patients with nonischemic cardiomyopathy and LBBB along with normalization of left ventricular ejection fraction (LVEF > 50...
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...However, HBP at high output by dual‐lead technique as suggested by Huang et al.10 with a second 3830 lead will correct LBBB and restore LB activation to produce LB potential....
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296 citations