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Current Heart Failure Reports

Erschienen in:

28.02.2019 | Devices (C Veltmann, Section Editor)

His Bundle Pacing in Heart Failure—Concept and Current Data

verfasst von: Philip L. Mar, Subodh R. Devabhaktuni, Gopi Dandamudi

Erschienen in: Current Heart Failure Reports | Ausgabe 1/2019

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Abstract

Purpose of Review

His bundle pacing (HBP) has continued to emerge as a viable alternative to both right ventricular pacing (RVP) and cardiac resynchronization therapy. In recent years, a considerable amount of research has been published with regard to using HBP to treat congestive heart failure (CHF) and this article presents a concise yet comprehensive review of this literature.

Recent Findings

Studies have demonstrated that HBP is useful for CHF patients who are non-responders to biventricular pacing (BiVP) or have a history of previously failed coronary sinus lead placement, right/left bundle branch block cardiomyopathy, or pacing-induced cardiomyopathy. Additionally, HBP is useful in patients with an indication for pacing who are expected to have a RVP burden exceeding 20%.

Summary

The theoretical benefit of utilizing the native His Purkinje system to excite cardiac tissue is appealing as it can result in true cardiac resynchronization. Limited studies have shown its benefit in reducing heart failure symptoms and improving cardiac function. Larger randomized clinical trials and further investments into developing better technologies are highly desired to make its clinical use sustainable in the long run.

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24.

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28.

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29.

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31.

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Lustgarten DL, Crespo EM, Arkhipova-Jenkins I, Lobel R, Winget J, Koehler J, et al. His-bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients: a crossover design comparison. Heart Rhythm. 2015;12(7):1548–57. https://doi.org/10.1016/j.hrthm.2015.03.048 This is the only study comparing outcomes of HBP versus BiVP (clinical and echocardiographic) in the same patients (12 total). Patients were both implanted with a His bundle as well as a coronary sinus lead. They were randomized to either 6 months of HBP or BiVP before crossing over to the other pacing strategy. No clinical or echocardiograhic differences were noted.CrossRefPubMed

41.

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Titel: His Bundle Pacing in Heart Failure—Concept and Current Data
verfasst von: Philip L. Mar
Subodh R. Devabhaktuni
Gopi Dandamudi
Publikationsdatum: 28.02.2019
Verlag: Springer US
Erschienen in: Current Heart Failure Reports / Ausgabe 1/2019
Print ISSN: 1546-9530
Elektronische ISSN: 1546-9549
DOI: https://doi.org/10.1007/s11897-019-0423-2

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Springer Medizin

His Bundle Pacing in Heart Failure—Concept and Current Data

Abstract

Purpose of Review

Recent Findings

Summary

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Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

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