Premium
Utilization of Permanent His‐Bundle Pacing for Management of Proarrhythmia Related to Biventricular Pacing
Author(s) -
SOFI AAMIR,
VIJAYARAMAN PUGAZHENDHI,
BAROLD S. SERGE,
HERWEG BENGT
Publication year - 2017
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.12997
Subject(s) - proarrhythmia , medicine , ventricular pacing , cardiology , transvenous pacing , refractory (planetary science) , bundle , anesthesia , heart failure , qt interval , physics , materials science , astrobiology , composite material
Biventricular pacing has occasionally been associated with ventricular proarrhythmia, which at times can be refractory to conventional antiarrhythmic drug therapy and ablative intervention. Recently, permanent His‐bundle pacing has emerged as a reasonable alternative to right ventricular and biventricular pacing. In addition, by maintaining the physiologic pattern of ventricular electrical activation, it is less likely to be arrhythmogenic. We report the use of permanent His‐bundle pacing to manage ventricular proarrhythmia that developed after initiation of biventricular pacing and was unresponsive to antiarrhythmic and ablative therapy.