His Bundle Pacing

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dc.contributor.authorVijayaraman, Pugazhendhi
dc.contributor.authorChung, Mina K.
dc.contributor.authorDandamudi, Gopi
dc.contributor.authorUpadhyay, Gaurav A.
dc.contributor.authorKrishnan, Kousik
dc.contributor.authorCrossley, George H.
dc.contributor.authorBova Campbell, Kristen
dc.contributor.authorLee, Byron K.
dc.contributor.authorRefaat, Marwan M.
dc.contributor.authorSaksena, Sanjeev V.
dc.contributor.authorFisher, John D.
dc.contributor.authorLakkireddy, Dhanunjaya R.
dc.contributor.departmentInternal Medicine
dc.contributor.facultyFaculty of Medicine (FM)
dc.contributor.institutionAmerican University of Beirut
dc.date.accessioned2025-01-24T11:53:40Z
dc.date.available2025-01-24T11:53:40Z
dc.date.issued2018
dc.description.abstractTraditional right ventricular (RV) pacing for the management of bradyarrhythmias has been pursued successfully for decades, although there remains debate regarding optimal pacing site with respect to both hemodynamic and clinical outcomes. The deleterious effects of long-term RV apical pacing have been well recognized. This has generated interest in approaches providing more physiological stimulation, namely, His bundle pacing (HBP). This paper reviews the anatomy of the His bundle, early clinical observations, and current approaches to permanent HBP. By stimulating the His-Purkinje network, HBP engages electrical activation of both ventricles and may avoid marked dyssynchrony. Recent studies have also demonstrated the potential of HBP in patients with underlying left bundle branch block and cardiomyopathy. HBP holds promise as an attractive mode to achieve physiological pacing. Widespread adaptation of this technique is dependent on enhancements in technology, as well as further validation of efficacy in large randomized clinical trials. © 2018 American College of Cardiology Foundation
dc.identifier.doihttps://doi.org/10.1016/j.jacc.2018.06.017
dc.identifier.eid2-s2.0-85051030344
dc.identifier.pmid30115232
dc.identifier.urihttp://hdl.handle.net/10938/31121
dc.language.isoen
dc.publisherElsevier USA
dc.relation.ispartofJournal of the American College of Cardiology
dc.sourceScopus
dc.subjectCardiac resynchronization therapy
dc.subjectHeart failure
dc.subjectPermanent his bundle pacing
dc.subjectRight ventricular pacing
dc.subjectArrhythmias, cardiac
dc.subjectBundle of his
dc.subjectBundle-branch block
dc.subjectCardiac pacing, artificial
dc.subjectCardiac resynchronization therapy devices
dc.subjectElectrocardiography
dc.subjectHumans
dc.subjectAblation therapy
dc.subjectAnatomy
dc.subjectAtrial fibrillation
dc.subjectAtrioventricular block
dc.subjectCardiomyopathy
dc.subjectClinical effectiveness
dc.subjectClinical outcome
dc.subjectClinical practice
dc.subjectEchocardiography
dc.subjectElectrocardiogram
dc.subjectElectrography
dc.subjectElectrophysiology
dc.subjectFollow up
dc.subjectHeart atrioventricular node
dc.subjectHeart hemodynamics
dc.subjectHeart left bundle branch block
dc.subjectHeart left ventricle ejection fraction
dc.subjectHeart pacing
dc.subjectHeart right bundle branch block
dc.subjectHis bundle electrogram
dc.subjectHuman
dc.subjectIntermethod comparison
dc.subjectMedical society
dc.subjectNonhuman
dc.subjectPacemaker implantation
dc.subjectPhysiology
dc.subjectPractice guideline
dc.subjectPriority journal
dc.subjectPurkinje fiber
dc.subjectQrs interval
dc.subjectReview
dc.subjectS wave amplitude
dc.subjectSurgical technique
dc.subjectTreatment failure
dc.subjectVectorcardiography
dc.subjectAnatomy and histology
dc.subjectCardiac resynchronization therapy device
dc.subjectHeart arrhythmia
dc.subjectHeart bundle branch block
dc.subjectHis bundle
dc.subjectPathophysiology
dc.subjectProcedures
dc.titleHis Bundle Pacing
dc.typeReview

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