J R Soc Interface
November 2024
We report an elderly male patient with frequent episodes of dizziness due to a complete atrioventricular block who underwent temporary pacemaker insertion in a local hospital. After the implantation of a permanent pacemaker and removal of the temporary pacemaker lead, the patient developed sudden neurological symptoms, upon which an acute cerebellar infarction was diagnosed via head CT. We will discuss the adequacy of the periprocedural administration.
View Article and Find Full Text PDFSeldom are reports of phase 4 block or bradycardia-dependent conduction block in atrial tissue found in the literature. Here, we describe the case of a patient with sick sinus syndrome with Torsade de Pointes who, following the implantation of a double-chamber implantable cardioverter defibrillator, developed intra-atrial bradycardia-dependent conduction block. The patient's optimal pacing parameters were achieved by raising the rate.
View Article and Find Full Text PDFFront Cardiovasc Med
September 2022
Background: As a novel physiological pacing technique, left bundle branch pacing (LBBP) can preserve the left ventricular (LV) electrical and mechanical synchronization by directly capturing left bundle branch (LBB). Approximately 60-90% of LBBP were confirmed to have captured LBB during implantation, implying that up to one-third of LBBP is actually left ventricular septal pacing (LVSP). LBB capture is critical for distinguishing LBBP from LVSP.
View Article and Find Full Text PDFIn this work, separation and recovery of gallium from aqueous solutions was examined using acid-base bifunctional ionic liquids (Bif-ILs) in both solvent extraction and supported liquid membrane (SLM) processes. The influence of a variety of parameters, such as feed acidity, extractant concentration and metal concentration on the solvent extraction behavior were evaluated. The slope method combined with FTIR spectroscopy was utilized to determine possible extraction mechanisms.
View Article and Find Full Text PDFLeft bundle branch pacing (LBBP) is a physiological pacing technique that captures the left bundle branch (LBB) directly, causing the left ventricle (LV) to be excited earlier than the right ventricle (RV), resulting in a "iatrogenic" right bundle branch block (RBBB) pacing pattern. Several studies have recently shown that permanent LBBP can completely or partially narrow the wide QRS duration of the intrinsic RBBB in most patients with bradycardia, although the mechanisms by which this occurs has not been thoroughly investigated. This article presents a review of the LBBP in patients with intrinsic RBBB mentioned in current case reports and clinical studies, discussing the technique, possible mechanisms, future clinical explorations, and the feasibility of eliminating the interventricular dyssynchronization accompanied with LBBP.
View Article and Find Full Text PDFJ Electrocardiol
October 2021
Left bundle branch pacing (LBBP) has recently emerged as a novel physiological pacing technique with a paced morphology of a pseudoright bundle branch block (RBBB). We herein present a 63-year-old man with a high-degree atrioventricular block and complete RBBB, whose intrinsic QRS duration and terminal R' wave duration in V1 were significantly shortened after LBBP and further shortened with the increase in output.
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