Permanent His Bundle Pacing in Intra-Hisian Conduction Block: Mechanistic Insights

Bengt Herweg; Paul Z Gerczuk; Aamir Sofi; Pugazhendhi Vijayaraman; S Serge Barold

doi:10.1016/j.jelectrocard.2017.06.019

Permanent His Bundle Pacing in Intra-Hisian Conduction Block: Mechanistic Insights

J Electrocardiol. 2017 Nov-Dec;50(6):933-936. doi: 10.1016/j.jelectrocard.2017.06.019. Epub 2017 Jun 9.

Authors

Bengt Herweg¹, Paul Z Gerczuk², Aamir Sofi², Pugazhendhi Vijayaraman³, S Serge Barold⁴

Affiliations

¹ University of South Florida Morsani College of Medicine, Tampa, FL, United States. Electronic address: bherweg@health.usf.edu.
² University of South Florida Morsani College of Medicine, Tampa, FL, United States.
³ Geisinger Wyoming Valley Medical Center, Wilkes Barre, PA, United States.
⁴ University of Rochester School of Medicine and Dentistry, Rochester, NY, United States.

PMID: 28641861
DOI: 10.1016/j.jelectrocard.2017.06.019

Abstract

We are reporting a patient with discrete intra-His conduction block and describe a refined technique of permanent His bundle pacing assuring reliable ventricular capture. Meticulous mapping of the site of block with lead placement distal to the site of block and non-selective His bundle pacing with local myocardial capture as an additional safety back up appears to be the technique of choice.

Keywords: His bundle pacing; Pacing; intra-His conduction block.

Publication types

Case Reports

MeSH terms

Bundle of His / physiopathology*
Bundle-Branch Block / physiopathology*
Bundle-Branch Block / therapy*
Cardiac Pacing, Artificial / methods*
Electrocardiography / methods*
Humans
Male
Middle Aged