This article provides a technical guide on how to perform permanent His bundle pacing, highlighting its physiologic benefits over right ventricular pacing.
May inform His bundle pacing training and adoption; leaves open outcome validation in randomized trials.
Right ventricular pacing can cause ventricular dyssynchrony and result in reduced left ventricular systolic function and heart failure. Permanent His bundle pacing is a more physiologic form of pacing, but can be technically challenging. In this article, we describe our technique for permanent His bundle pacing including special considerations and limitations associated with His bundle pacing.
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Vijayaraman et al. (2016) studied this question.
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