Open AccessPhysiological electrocardiostimulation of the ventricles by the method of selective stimulation of the His bundle
Author(s) -
Borys B. Kravchuk,
О.З. Парацій,
A. V. Yakushev,
М. М. Сичик,
V. F. Onischenko,
Ulyana Chernyaha-Royko
Publication year - 2019
Publication title -
ukraïnsʹkij kardìologìčnij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2664-4479
pISSN - 1608-635X
DOI - 10.31928/1608-635x-2019.1.8993
Subject(s) - cardiology , medicine , bundle , electrical conduction system of the heart , diastole , stimulation , electrocardiography , materials science , blood pressure , composite material
The purpose of this work is to analyze the clinical case of conducting constant pacing of the ventricles by the method of selective implantation of the endocardial lead into the His bundle. The stimulation of His bundle in atrioventricular blockages is grounded on the fact that electrical activation of the ventricular myocardium is normally carried out through its own cardiac conduction system – the His – Purkinje system. Implantation of a stimulating lead directly into the cardiac conduction system prevents the distortion of the physiological sequence of different segments activation of the ventricular myocardium, which in the long term should minimize the negative impact on the ventricular systolic-diastolic function and reduce the risk of heart failure.