Key result
Direct His bundle pacing allowed determination of His-Purkinje system refractoriness when unobtainable by atrial pacing, though clinical usefulness is limited by a low success rate (1 of 60 patients).
Why the study?
Does His bundle pacing allow for the determination of His-Purkinje refractoriness compared to atrial pacing?
Case Report (n=60)
Does His bundle pacing allow for the determination of His-Purkinje refractoriness compared to atrial pacing?
Direct His bundle pacing can determine His-Purkinje system refractoriness when atrial pacing fails, but its clinical utility is limited by a very low procedural success rate.
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May enable His-Purkinje refractoriness assessment when atrial pacing fails; leaves open clinical utility given low success in case reports.
Peters et al. (1979) reported a case report. His bundle pacing vs. Atrial pacing was evaluated on His-Purkinje system refractoriness. Direct His bundle pacing allowed determination of His-Purkinje system refractoriness when unobtainable by atrial pacing, though clinical usefulness is limited by a low success rate (1 of 60 patients).
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