His Bundle Pacing: Techniques and Outcomes.
Traditional right ventricular pacing prolongs the electrical and mechanical activation of the heart, which reduces the pump function, and in selected patients may lead to pacing-induced heart failure. Pacing the His bundle preserves the normal or near-normal activation pattern of the ventricles that prevents the detrimental effects of right ventricular pacing. This review discusses the techniques, feasibility, outcomes, and clinical impact of permanent His bundle pacing in patients with an indication for a cardiac implantable electronic device.
Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus, Denmark. Mads.Brix.Kronborg@ki.au.dk.
Mads Brix
MB
Kronborg
Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus, Denmark.
Jens Cosedis
JC
Nielsen
D001919:Bradycardia / Q000209:etiology / Q000517:prevention & control; D002036:Bundle of His / Q000503:physiopathology*; D058406:Cardiac Resynchronization Therapy / Q000379:methods*; D004562:Electrocardiography; D006333:Heart Failure / Q000150:complications / Q000628:therapy*; D006352:Heart Ventricles / Q000503:physiopathology*; D006801:Humans; D016032:Randomized Controlled Trials as Topic
Bradycardia; Heart failure; His bundle pacing; Lead position; Resynchronization therapy