Journal of Arrhythmia (Dec 2016)

Successful resynchronization by permanent His-bundle pacing in a patient with pacing-induced cardiomyopathy

  • Yoji Iida, MD,
  • Tomoaki Izawa, MD,
  • Chikara Kobari, MD,
  • Toru Yatsuhashi, MD,
  • Nobuyuki Makishima, MD

DOI
https://doi.org/10.1016/j.joa.2016.04.004
Journal volume & issue
Vol. 32, no. 6
pp. 499 – 501

Abstract

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Right ventricular (RV) pacing has been reported to result in ventricular dyssynchrony, heart failure, and increased mortality. Pacing associated deterioration of left ventricular (LV) systolic function has been termed pacing-induced cardiomyopathy (PICM). While upgrading to biventricular pacing (BiVP) is an effective therapy for PICM, permanent His-bundle pacing (HBP) can be a physiological alternative to BiVP. We present a patient with PICM who responded dramatically to permanent HBP.

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