Why the study?
Chronic RV pacing has demonstrated deleterious effects, generating interest in physiological pacing strategies such as selective left bundle branch pacing to maintain synchronized ventricular contraction.
Population
A 13-year-old child with congenital complete heart block
Comparison
Selective left bundle branch pacing with a 4.1 F pacing lead
Design
Case report
Authors
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Supports physiological pacing exploration in pediatric congenital CHB; leaves open long-term safety and efficacy data.
Selective left bundle branch pacing can be successfully performed in a pediatric patient with congenital complete heart block, offering a physiological pacing strategy to avoid the deleterious effects of chronic right ventricular pacing.
Ponnusamy et al. (2019) studied this question.
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