Permanent His-bundle pacing feasibility in routine clinical practice: experience from Indian centre

Publication date: Available online 18 September 2019Source: Indian Heart JournalAuthor(s): Rakesh Sarkar, Daljeet Kaur, Muthiah Subramanian, Sachin Yalagudri, C. Sridevi, Soumen Devidutta, Debabrata Bera, Calambur NarasimhanAbstractThere is a paucity of experience regarding His-bundle pacing (HBP) at labs initially attempting the procedure, especially in the Indian scenario. Patient underwent HBP were either selected for pacing therapy or in lieu of CRT at a single center. Among 22 patients attempted, 19 patients underwent successful implant achieving selective HBP in 14. There was a significant improvement of LVEF(49.3±9.3 vs. 36.7 ± 9.2) in the LV dysfunction subgroup(n=6). Over a follow up of 15±6.5 months, thresholds were stable in all except one patient and there was no requirement of lead revision. In summary, we found that HBP is a feasible option for achieving physiological pacing.
Source: Indian Heart Journal - Category: Cardiology Source Type: research