Browsing by Subject "Pacing-induced cardiomyopathy"

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    Conduction System Pacing in Pediatrics and Congenital Heart Disease: A Case Report and Literature Review
    (MediaSphere Medical, 2024-02-15) Scott, Michael; Needleman, Joseph S.; Kean, Adam C.; Pediatrics, School of Medicine
    Conduction system pacing involving either His bundle pacing (HBP) or left bundle branch pacing (LBBP) is a modality that has been introduced as a safe and effective alternative to right ventricular (RV) pacing to help prevent pacemaker-associated cardiomyopathy. While HBP has been employed in the pediatric and congenital populations, several small studies have shown LBBP to be safe and effective in the pediatric population. We present a patient with congenital atrioventricular block and postoperative ventricular septal defect repair cardiomyopathy with subsequent left ventricular function improvement following a transition from an RV epicardial pacemaker system to an LBBP system. This case report serves as a foundation for a review of the current state of LBBP in pediatrics and congenital heart disease.