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A long-term clinical comparative study of left bundle branch pacing versus biventricular pacing in patients with heart failure and complete left bundle branch block.
Heart Vessels
January 2025
Department of Cardiology, Fujian Medical University Union Hospital, Fujian Institute of Coronary Heart Disease, Fujian Heart Medical Center, Fuzhou, 350001, Fujian, China.
Left bundle branch pacing (LBBP) is an emerging physiological pacing technique characterized by stable pacing parameters and a narrower QRS duration. This study aims to compare the long-term efficacy and safety of biventricular pacing (BIVP) and LBBP in patients with heart failure with reduced ejection fraction (HFrEF) and complete left bundle branch block (CLBBB). A retrospective analysis was conducted on 35 patients with chronic HFrEF accompanied by CLBBB treated at our center from April 2018 to October 2022.
View Article and Find Full Text PDFIrregular Narrow QRS Tachycardia: What Is the Mechanism?
J Cardiovasc Electrophysiol
December 2024
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
Deep Septal Pacing for Pacemaker-Induced Cardiomyopathy.
Pacing Clin Electrophysiol
December 2024
Servei de Cardiologia, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
Introduction: Right ventricular (RV) pacing can impair left ventricular function and cause heart failure, known as pacing-induced cardiomyopathy (PICM). Upgrade to cardiac resynchronization (CRT) is its usual treatment; recently left bundle branch area pacing (LBBAP) has emerged as a potential alternative. Deep septal pacing (DSP), a simplified alternative to LBBAP, is still able to achieve narrower paced QRS than during conventional RV pacing.
View Article and Find Full Text PDFUnmasking Hidden P Waves: A Diagnostic Role for the Modified Valsalva Maneuver in Narrow QRS Complex Tachycardia.
QJM
November 2024
Department of Cardiology, Aerospace Center Hospital, Haidian District, 15 Yuquan Road, Beijing, 100049, PR China.
Right bundle branch block in suspected acute coronary syndromes: Diagnostic challenges, treatment and prognosis.
J Electrocardiol
December 2024
Department of Cardiology, University Heart and Vascular Center Hamburg and Center for Population Health Innovation (POINT), Hamburg, Germany; German Center for Cardiovascular Research (DZHK), Partner Site Hamburg/Kiel/Lübeck, Hamburg, Germany; Department of Medicine-Cardiology, Zealand University Hospital, Nykoebing F, Denmark. Electronic address:
Background: There is still conflicting evidence regarding the prognostic implications of right bundle branch block (RBBB) in the general population but also in patients with heart diseases like acute coronary syndromes (ACS). In accordance with current guidelines, RBBB in ACS patients is considered as STEMI equivalent. However, recent studies indicate that further differentiation is necessary in this group, as we will outline below.
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