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Longitudinal dissociation and transition in thickness of the His-Purkinje system cause various QRS waveforms of surface ECG under His bundle pacing: A simulation study based on clinical observations.

Jun-Ichi OkadaKatsuhito FujiuTakumi WashioSeiryo SugiuraToshiaki HisadaEriko HasumiIssei Komuro
Published in: Journal of cardiovascular electrophysiology (2019)
Variations in the anatomy of the His bundle and its branches may underlie the diverse ECG responses to HBP. These variations should be taken into account when performing this therapy.
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