title: Hisian pacing restores cardiac function.
abstract: We report a 57-year-old male patient with dilated cardiomyopathy, NYHA function class III and complete left bundle branch block (CLBBB) who received cardiac resynchronization therapy using His-bundle pacing (HBP) when a left-ventricular lead could not be placed. In 10 months' follow up, his symptoms resolved rapidly, his QRS, left ventricular and left ventricular ejection fraction normalized. Recent reports support the conception that HBP may be an alternative or even better therapy for heart failure patients with CLBBB, especially if biventricular pacing is not feasible.
authors.affiliation: Department of Cardiology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
authors.forename: Gaojun
authors.initials: G
authors.lastname: Wu
authors.forename: Yongxin
authors.initials: Y
authors.lastname: Cai
authors.forename: Weijian
authors.initials: W
authors.lastname: Huang
authors.forename: Lan
authors.initials: L
authors.lastname: Su
mesh_terms: D002036:Bundle of His; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D006333:Heart Failure / Q000175:diagnosis* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
keywords: Cardiac resynchronization therapy; Dilated cardiomyopathy; Heart failure; His-bundle pacing; Left bundle branch block