Interest in permanent His bundle pacing as a means of both preventing pacing-induced
cardiomyopathy and providing physiological resynchronization by normalization of His-Purkinje
activation is steadily growing. However, there are differences in atrioventricular
timing cycles, sensing, and tissue capture that distinguish His bundle pacing from
right ventricular pacing, and hence it is of utmost importance to bear these differences
in mind when implanting a His pacing lead and programming the His pacing system. This
article focuses on critical considerations and troubleshooting options available to
the implanter and follow-up clinic personnel.
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References
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Article info
Footnotes
Dr Vijayaraman serves as a speaker for Medtronic; has received research and fellowship support from Medtronic; and serves as a consultant for Medtronic, Boston Scientific, Abbott, Biotronik, and Merit Medical; he also has a patent pending for a His bundle pacing tool. Dr Sharma has received honoraria from Medtronic and serves as a consultant for Medtronic, Abbott, and Biotronik. Dr Lustgarten is a speaker for Medtronic and Abbott; has received honorarium from Medtronic and Abbott and research support from Medtronic, Biotronik, Abbott, and Boston Scientific; and serves as a consultant for Medtronic.
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