Painful Left Bundle Branch Block Syndrome Successfully Treated With Left Bundle Branch Area Pacing

Aatish Garg, MD; Vivak Master, MD; Kenneth A. Ellenbogen, MD; Santosh K. Padala, MD

JACC: Case Reports (Apr 2020)

Painful Left Bundle Branch Block Syndrome Successfully Treated With Left Bundle Branch Area Pacing

Aatish Garg, MD,
Vivak Master, MD,
Kenneth A. Ellenbogen, MD,
Santosh K. Padala, MD

Affiliations

Aatish Garg, MD: Address for correspondence: Dr. Aatish Garg, Cardiac Electrophysiology, Gateway Building, 3rd Floor, Virginia Commonwealth University Medical Center, 1200 East Marshall Street, PO Box 980053, Richmond, Virginia 23298-0053.; Division of Cardiac Electrophysiology, Virginia Commonwealth University Medical Center, Richmond, Virginia
Vivak Master, MD: Division of Cardiac Electrophysiology, Virginia Commonwealth University Medical Center, Richmond, Virginia
Kenneth A. Ellenbogen, MD: Division of Cardiac Electrophysiology, Virginia Commonwealth University Medical Center, Richmond, Virginia
Santosh K. Padala, MD: Division of Cardiac Electrophysiology, Virginia Commonwealth University Medical Center, Richmond, Virginia

Journal volume & issue: Vol. 2, no. 4
pp. 568 – 571

Abstract

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Chest pain may be rarely associated with left bundle branch block (LBBB)-mediated ventricular dys-synchrony has been reported. This article reports 2 such cases, where left bundle branch area pacing resulted in resolution of the LBBB and associated symptoms. By adjusting the atrioventricular delays, the QRS duration was narrowed further by achieving fusion with the intrinsic activation wavefront. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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