Frontiers in Pediatrics (May 2023)

Case report: Challenges and implications of conduction system pacing in pediatrics: Case series

  • Ruy Gonzalo Ploneda Valencia,
  • Moisés Levinstein Jacinto,
  • Carmen A. Sánchez Contreras,
  • Gustavo Ruiz González,
  • Diego Neach de la Vega,
  • Manlio F. Márquez Murillo,
  • Santiago Nava

DOI
https://doi.org/10.3389/fped.2023.1160335
Journal volume & issue
Vol. 11

Abstract

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Cardiac electrical stimulation in children usually is needed in the setting of complete congenital atrioventricular block, atrioventricular block after heart surgery, and bradycardia associated with some specific channelopathies. In cases of atrioventricular block, the high percentage of ventricular stimulation raises concern on the deleterious effects of chronic stimulation of the right ventricle. In recent years, physiologic stimulation has developed as a valid approach for adult patients and a great interest has risen in offering conduction system pacing also to the pediatric population. We present three pediatric cases of stimulation of the conduction system (His bundle or left bundle branch), in order to show the intrinsic particularities and challenges implied in these new techniques.

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