title: Utilization of Permanent His-Bundle Pacing for Management of Proarrhythmia Related to Biventricular Pacing.
abstract: Biventricular pacing has occasionally been associated with ventricular proarrhythmia, which at times can be refractory to conventional antiarrhythmic drug therapy and ablative intervention. Recently, permanent His-bundle pacing has emerged as a reasonable alternative to right ventricular and biventricular pacing. In addition, by maintaining the physiologic pattern of ventricular electrical activation, it is less likely to be arrhythmogenic. We report the use of permanent His-bundle pacing to manage ventricular proarrhythmia that developed after initiation of biventricular pacing and was unresponsive to antiarrhythmic and ablative therapy.
authors.affiliation: University of South Florida Morsani College of Medicine, Tampa, Florida.
authors.forename: Aamir
authors.initials: A
authors.lastname: Sofi
authors.affiliation: Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania.
authors.forename: Pugazhendhi
authors.initials: P
authors.lastname: Vijayaraman
authors.affiliation: Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York.
authors.forename: S Serge
authors.initials: SS
authors.lastname: Barold
authors.affiliation: University of South Florida Morsani College of Medicine, Tampa, Florida.
authors.forename: Bengt
authors.initials: B
authors.lastname: Herweg
mesh_terms: D000368:Aged; D001919:Bradycardia / Q000175:diagnosis* / Q000517:prevention & control*; D058406:Cardiac Resynchronization Therapy / Q000009:adverse effects* / Q000379:methods*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000209:etiology*; D016896:Treatment Outcome
keywords: His-bundle pacing; biventricular pacing; pacing related pro-arrhythmia; physiologic pacing; ventricular tachycardia