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His bundle pacing

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Abstract

His bundle pacing (HBP) has recently emerged as a technique to avoid the negative effects of long-term right ventricular apical pacing. In addition to providing physiologic ventricular activation, HBP has been shown to correct underlying conduction abnormalities in certain patients. Although large prospective, randomized clinical trials have not yet been completed, the available observational clinical data support the safety and efficacy of this technique. Here, we review the physiology of the his bundle (HB) as it relates to HBP, describe the current clinical experience, and discuss future directions of this emerging therapy.

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Authors and Affiliations

  1. The New England Cardiac Arrhythmia Center, Tufts Medical Center, Tufts University School of Medicine, 800 Washington Street, Boston, MA, 02111, USA

    Jason Payne, Ann C. Garlitski, Jonathan Weinstock, Munther Homoud, Christopher Madias & N. A. Mark Estes

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  1. Jason Payne
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  2. Ann C. Garlitski
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Correspondence to N. A. Mark Estes.

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Conflict of interest

Dr. Jon Weinstock has received research funding from St. Jude Medical.

Dr. Garlitski has received Honorarium from Biosense-Webster Inc. and Medtronic Inc.

The other authors declare that they have no conflicts of interest.

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For this type of study, formal consent is not required.

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Informed consent was obtained from all individuals whose clinical material was used in the study.

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Payne, J., Garlitski, A.C., Weinstock, J. et al. His bundle pacing. J Interv Card Electrophysiol 52, 323–334 (2018). https://doi.org/10.1007/s10840-018-0412-5

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