Within-patient comparison of His-bundle pacing, right ventricular pacing, and right ventricular pacing avoidance algorithms in patients with PR prolongation: Acute hemodynamic study.

Zachary I WhinnettMatthew J Shun-ShinAhran D ArnoldKatherine MarchNorman QureshiFu Siong NgMark TannerNicholas LintonPhang B LimDavid LefroyPrapa KanagaratnamNicholas S PetersDarrel P FrancisZachary I Whinnett

Published in: Journal of cardiovascular electrophysiology (2020)

HBP provides better acute cardiac function than pacing avoidance algorithms and RVP, in patients with prolonged PR intervals. HBP allows normalization of prolonged AV delays (unlike pacing avoidance) and does not cause ventricular dyssynchrony (unlike RVP). Clinical trials may be justified to assess whether these acute improvements translate into longer term clinical benefits in patients with bradycardia indications for pacing.

Keyphrases

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