Browsing by Subject "His-bundle pacing"

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    An Interesting Case of Permanent His-Bundle Pacing and a Review of the Current Literature
    (MediaSphere Medical, 2017-04-01) Ezzeddine, Fatima; Dandamudi, Gopi; Medicine, School of Medicine
    Permanent His-bundle pacing (HBP) is a true physiological form of ventricular pacing that has been shown in recent years to be both safe and feasible in clinical practice. However, there are limited data about its long-term performance, especially when compared with both right ventricular and biventricular pacing. In this article, we present a thought-provoking case study that illustrates the usefulness of permanent HBP in a patient with long-standing complete infranodal heart block and progressive heart failure, and discuss the current literature highlighting the evidence behind this form of permanent pacing.
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    Permanent His-bundle Pacing in Pediatrics and Congenital Heart Disease
    (MediaSphere Medical LLC, 2020-02-15) Lyon, Shannon; Dandamudi, Gopi; Kean, Adam C.; Pediatrics, School of Medicine
    Permanent His-bundle pacing has been gaining popularity in the adult population requiring cardiac resynchronization therapy. Initial procedural challenges are being overcome, and this method of pacing has been shown to improve left ventricular function and heart failure symptoms secondary to ventricular dyssynchrony. Though the etiologies of ventricular dyssynchrony may differ in children and those with congenital heart disease than in adults with structurally normal hearts, His-bundle pacing may also be a preferred option in these groups to restore more physiologic electric conduction and improve ventricular function. We present a review of the current literature and suggested directions involving deploying permanent His-bundle pacing in the pediatric and congenital heart disease population.