Left bundle branch area pacing: Electrocardiographic features
Abstract Background Left bundle branch (LBB) area pacing emerged as a promising alternative to His bundle (HB) pacing in difficult cases of physiological pacing and failed cases of cardiac resynchronization. So, it is important to understand ECG features of LBB area pacing in various subsets of pati...
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| Format: | Article |
| Language: | English |
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Wiley
2021-10-01
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| Series: | Journal of Arrhythmia |
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| Online Access: | https://doi.org/10.1002/joa3.12610 |
| _version_ | 1818576382263820288 |
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| author | Asit Das Suman Chatterjeet Das Aniruddha Mandal |
| author_facet | Asit Das Suman Chatterjeet Das Aniruddha Mandal |
| author_sort | Asit Das |
| collection | DOAJ |
| description | Abstract Background Left bundle branch (LBB) area pacing emerged as a promising alternative to His bundle (HB) pacing in difficult cases of physiological pacing and failed cases of cardiac resynchronization. So, it is important to understand ECG features of LBB area pacing in various subsets of patients. Objective We wanted to find out different morphological patterns and characteristic ECG features of LBB area pacing. Method Medtronic 3830 pacing lead was used to pierce the interventricular septum 1‐2 cm distal towards the RV cavity to a previously placed electrophysiology catheter at distal HB region to reach the LBB area in the right anterior oblique (RAO) 30 degree projection. We observed paced QRS morphology in lead V1 and paced QRS duration. Results We have analyzed ECG features of 60 patients who had undergone LBB area pacing and 60 patients with RV apical pacing. LBB area pacing resulted in narrower‐paced QRS complex than conventional RV apical pacing. In patients with baseline LBBB QRS shortening from LBB area pacing was more in comparison to patients with RBBB (34.45 ± 8.07 ms vs 19.78 ± 10.24 ms, P value .004). Paced QRS morphological pattern in lead V1 was most commonly qR pattern followed by Qr pattern. Conclusions LBB area pacing results in narrower‐paced QRS duration than RV apical pacing. The morphological pattern is most commonly a qR or Qr pattern in lead V1. Patients with baseline RBBB showed lesser paced QRS shortening in comparison to patients with baseline LBBB. |
| first_indexed | 2024-12-16T06:13:08Z |
| format | Article |
| id | doaj.art-115da397a2bc4a9d8db25a16da578de5 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 1883-2148 |
| language | English |
| last_indexed | 2024-12-16T06:13:08Z |
| publishDate | 2021-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-115da397a2bc4a9d8db25a16da578de52022-12-21T22:41:19ZengWileyJournal of Arrhythmia1880-42761883-21482021-10-013751139114710.1002/joa3.12610Left bundle branch area pacing: Electrocardiographic featuresAsit Das0Suman Chatterjeet Das1Aniruddha Mandal2Department of Cardiology IPGME&R and SSKM Hospital Kolkata IndiaDepartment of Cardiology IPGME&R and SSKM Hospital Kolkata IndiaDepartment of Cardiology IPGME&R and SSKM Hospital Kolkata IndiaAbstract Background Left bundle branch (LBB) area pacing emerged as a promising alternative to His bundle (HB) pacing in difficult cases of physiological pacing and failed cases of cardiac resynchronization. So, it is important to understand ECG features of LBB area pacing in various subsets of patients. Objective We wanted to find out different morphological patterns and characteristic ECG features of LBB area pacing. Method Medtronic 3830 pacing lead was used to pierce the interventricular septum 1‐2 cm distal towards the RV cavity to a previously placed electrophysiology catheter at distal HB region to reach the LBB area in the right anterior oblique (RAO) 30 degree projection. We observed paced QRS morphology in lead V1 and paced QRS duration. Results We have analyzed ECG features of 60 patients who had undergone LBB area pacing and 60 patients with RV apical pacing. LBB area pacing resulted in narrower‐paced QRS complex than conventional RV apical pacing. In patients with baseline LBBB QRS shortening from LBB area pacing was more in comparison to patients with RBBB (34.45 ± 8.07 ms vs 19.78 ± 10.24 ms, P value .004). Paced QRS morphological pattern in lead V1 was most commonly qR pattern followed by Qr pattern. Conclusions LBB area pacing results in narrower‐paced QRS duration than RV apical pacing. The morphological pattern is most commonly a qR or Qr pattern in lead V1. Patients with baseline RBBB showed lesser paced QRS shortening in comparison to patients with baseline LBBB.https://doi.org/10.1002/joa3.12610His bundleleft bundle branch areaphysiological pacing |
| spellingShingle | Asit Das Suman Chatterjeet Das Aniruddha Mandal Left bundle branch area pacing: Electrocardiographic features Journal of Arrhythmia His bundle left bundle branch area physiological pacing |
| title | Left bundle branch area pacing: Electrocardiographic features |
| title_full | Left bundle branch area pacing: Electrocardiographic features |
| title_fullStr | Left bundle branch area pacing: Electrocardiographic features |
| title_full_unstemmed | Left bundle branch area pacing: Electrocardiographic features |
| title_short | Left bundle branch area pacing: Electrocardiographic features |
| title_sort | left bundle branch area pacing electrocardiographic features |
| topic | His bundle left bundle branch area physiological pacing |
| url | https://doi.org/10.1002/joa3.12610 |
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