Physiologic Resynchronization Therapy: A Case of His Bundle Pacing Reversing Physiologic Conduction in a Patient with CHF and LBBB During 2 Years of Observation
Article first published online: 18 NOV 2010
© 2010 Wiley Periodicals, Inc.
Journal of Cardiovascular Electrophysiology
Volume 22, Issue 7, pages 813–817, July 2011
How to Cite
DABROWSKI, P., KLEINROK, A., KOZLUK, E. and OPOLSKI, G. (2011), Physiologic Resynchronization Therapy: A Case of His Bundle Pacing Reversing Physiologic Conduction in a Patient with CHF and LBBB During 2 Years of Observation. Journal of Cardiovascular Electrophysiology, 22: 813–817. doi: 10.1111/j.1540-8167.2010.01949.x
- Issue published online: 21 JUL 2011
- Article first published online: 18 NOV 2010
- Manuscript received 8 June 2010; Revised manuscript received 29 September 2010; Accepted for publication 1 October 2010.
- cardiac resynchronization therapy;
- heart failure;
- His bundle pacing;
- left bundle branch block
Physiologic Resynchronization Therapy. This is a case of a patient with congestive heart failure and left bundle branch block who was referred for cardiac resynchronization therapy implantation. Instead, a His bundle pacing was achieved with a narrow QRS complex. During 27 months of observation, the patient improved dramatically from NYHA class IV to I. Echo parameters improved significantly the LV diameter from 75/50 to 60/40 mm, EF from 28 to 50%, and mitral regurgitation from 4 to 2°. (J Cardiovasc Electrophysiol, Vol. 22, pp. 813-817, July 2011)