دورية أكاديمية
His potential injury as the end point of screwing by a continuous recording technique in His bundle pacing: A case report.
| العنوان: | His potential injury as the end point of screwing by a continuous recording technique in His bundle pacing: A case report. |
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| المؤلفون: | Zhong J; Department of Cardiology, Ningbo No. 2 hospital, Ningbo, Zhejiang, China., Jiang L; Department of Cardiology, Ningbo No. 2 hospital, Ningbo, Zhejiang, China. |
| المصدر: | Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2024 Jun; Vol. 47 (6), pp. 771-775. Date of Electronic Publication: 2024 Apr 04. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Futura Pub. Co. Country of Publication: United States NLM ID: 7803944 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8159 (Electronic) Linking ISSN: 01478389 NLM ISO Abbreviation: Pacing Clin Electrophysiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Mount Kisco, N. Y. : Futura Pub. Co., c1978- |
| مواضيع طبية MeSH: | Bundle of His*/physiopathology , Cardiac Pacing, Artificial*/methods , Electrocardiography*, Humans ; Male ; Atrioventricular Block/therapy ; Atrioventricular Block/physiopathology ; Aged ; Bundle-Branch Block/therapy ; Bundle-Branch Block/physiopathology |
| مستخلص: | Background: His bundle pacing (HBP) engaged electrical activation of both ventricles by stimulating the His-Purkinje network, which could avoid marked ventricles dyssynchrony. The lead was given three to five clockwise rotations at the site with the His potential to anchor the interventricular septum. In 2018, the Multicenter His Bundle Pacing Collaborative Working Group recommended that the His bundle capture threshold should be lower than 2.5 V/1 ms in non-pacing-dependent patients, and pacing-dependent patients should have a lower adjacent ventricular capture threshold as self-backup. Therefore, to avoid safety issues such as loss of capture caused by increased threshold, we believe that more stringent criteria should be adopted in patients with atrioventricular block (AVB). In previous studies, the connection cable needed to be disconnected during the screwing. When the procedure was finished, the performer found that the patients with His bundle injury could obtain a lower threshold than those without His bundle injury. Although no studies of new bundle branch block (BBB) or AVB by the acute His bundle injury was reported. However, It is worrying that the damage of His bundle seems random during the procedure. How to balance avoiding severe injury with a lower capture threshold? At present, we report a case of light His injury and lower His capture threshold under continuous intracardiac electrocardiogram monitoring. (© 2024 Wiley Periodicals LLC.) |
| References: | Muthumala A, Vijayaraman P, et al. His‐Purkinje conduction system pacing and atrioventricular node ablation. Herzschrittmacherther Elektrophysiol. 2020;31(2):117‐123. Vijayaraman P, Dandamudi G. How to perform permanent his bundle pacing: tips and tricks. Pacing Clin Electrophysiol. 2016;39(12):1298‐1304. Vijayaraman P, Dandamudi G, Zanon F, et al. Acute his‐bundle injury current during permanent his‐bundle pacing predicts excellent pacing outcomes. Pacing Clin Electrophysiol. 2015;38(5):540‐546. Shen J, Jiang L, Wu H, et al. A continuous pacing and recording technique for differentiating left bundle branch pacing from left ventricular septal pacing: electrophysiologic evidence from an intrapatient‐controlled study. Can J Cardiol. 2023;39(1):1‐10. Ponnusamy SS, Arora V, Namboodiri N, et al. Left bundle branch pacing: a comprehensive review. J Cardiovasc Electrophysiol. 2020;31(9):2462‐2473. |
| معلومات مُعتمدة: | 2023S089 Ningbo Public Service Technology Foundation; LGF22H020009 Zhejiang Provincial Public Service and Application Research Foundation |
| فهرسة مساهمة: | Keywords: continuous recording; his bundle pacing; his potential injury; john jiang's connecting cable |
| تواريخ الأحداث: | Date Created: 20240405 Date Completed: 20240618 Latest Revision: 20240618 |
| رمز التحديث: | 20240618 |
| DOI: | 10.1111/pace.14967 |
| PMID: | 38576198 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1540-8159 |
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| DOI: | 10.1111/pace.14967 |