The successful selective His bundle pacing to the patient with permanent atrial fibrillation
The choice of an optimal, most safe and physiological place in the heart for the electrode implantation is an issue to be solved by a specialist in surgery of heart arrhythmias. According to the literature, the techniques to stimulate both cardiac apex and other alternative areas are imperfect. At p...
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| Format: | Article |
| Language: | Russian |
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MONIKI
2022-11-01
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| Series: | Alʹmanah Kliničeskoj Mediciny |
| Subjects: | |
| Online Access: | https://almclinmed.ru/jour/article/viewFile/1654/1497 |
| _version_ | 1828177405819224064 |
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| author | Sergey S. Zamudriakov Eduard A. Ivanitskiy Alexey A. Vyrva Valery A. Sakovich Dmitriy B. Drobot |
| author_facet | Sergey S. Zamudriakov Eduard A. Ivanitskiy Alexey A. Vyrva Valery A. Sakovich Dmitriy B. Drobot |
| author_sort | Sergey S. Zamudriakov |
| collection | DOAJ |
| description | The choice of an optimal, most safe and physiological place in the heart for the electrode implantation is an issue to be solved by a specialist in surgery of heart arrhythmias. According to the literature, the techniques to stimulate both cardiac apex and other alternative areas are imperfect. At present, stimulation of the heart conduction system, namely, the His bundle is considered a promising area in arrhythmology. This type of stimulation is a physiological one, while it involves the His-Purkinje system. We present a successful clinical case of the electrode implantation with a two-chamber pacemaker to the heart conduction system in a 67-year-old patient with permanent atrial fibrillation. The surgical intervention made it possible to reduce the QRS length from 180 to 110 ms. This clinical case shows that the heart conduction system pacing allows for implementation of the principles of physiological stimulation in patients with impaired atrioventricular conduction. The technique with a two-chamber pacemaker is feasible in clinical practice. |
| first_indexed | 2024-04-12T04:58:24Z |
| format | Article |
| id | doaj.art-a32da552fb6a45168862a6189b4b5e66 |
| institution | Directory Open Access Journal |
| issn | 2072-0505 2587-9294 |
| language | Russian |
| last_indexed | 2024-04-12T04:58:24Z |
| publishDate | 2022-11-01 |
| publisher | MONIKI |
| record_format | Article |
| series | Alʹmanah Kliničeskoj Mediciny |
| spelling | doaj.art-a32da552fb6a45168862a6189b4b5e662022-12-22T03:47:03ZrusMONIKIAlʹmanah Kliničeskoj Mediciny2072-05052587-92942022-11-0150428128510.18786/2072-0505-2022-50-039891The successful selective His bundle pacing to the patient with permanent atrial fibrillationSergey S. Zamudriakov0https://orcid.org/0000-0003-4356-3332Eduard A. Ivanitskiy1https://orcid.org/0000-0002-4946-8005Alexey A. Vyrva2https://orcid.org/0000-0002-6937-9544Valery A. Sakovich3https://orcid.org/0000-0001-8470-0845Dmitriy B. Drobot4https://orcid.org/0000-0001-9003-4818Federal Center of Cardiovascular Surgery (Krasnoyarsk)Federal Center of Cardiovascular Surgery (Krasnoyarsk)Federal Center of Cardiovascular Surgery (Krasnoyarsk)Federal Center of Cardiovascular Surgery (Krasnoyarsk)Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical UniversityThe choice of an optimal, most safe and physiological place in the heart for the electrode implantation is an issue to be solved by a specialist in surgery of heart arrhythmias. According to the literature, the techniques to stimulate both cardiac apex and other alternative areas are imperfect. At present, stimulation of the heart conduction system, namely, the His bundle is considered a promising area in arrhythmology. This type of stimulation is a physiological one, while it involves the His-Purkinje system. We present a successful clinical case of the electrode implantation with a two-chamber pacemaker to the heart conduction system in a 67-year-old patient with permanent atrial fibrillation. The surgical intervention made it possible to reduce the QRS length from 180 to 110 ms. This clinical case shows that the heart conduction system pacing allows for implementation of the principles of physiological stimulation in patients with impaired atrioventricular conduction. The technique with a two-chamber pacemaker is feasible in clinical practice.https://almclinmed.ru/jour/article/viewFile/1654/1497heart conduction system pacinghis bundle pacingpermanent atrial fibrillation |
| spellingShingle | Sergey S. Zamudriakov Eduard A. Ivanitskiy Alexey A. Vyrva Valery A. Sakovich Dmitriy B. Drobot The successful selective His bundle pacing to the patient with permanent atrial fibrillation Alʹmanah Kliničeskoj Mediciny heart conduction system pacing his bundle pacing permanent atrial fibrillation |
| title | The successful selective His bundle pacing to the patient with permanent atrial fibrillation |
| title_full | The successful selective His bundle pacing to the patient with permanent atrial fibrillation |
| title_fullStr | The successful selective His bundle pacing to the patient with permanent atrial fibrillation |
| title_full_unstemmed | The successful selective His bundle pacing to the patient with permanent atrial fibrillation |
| title_short | The successful selective His bundle pacing to the patient with permanent atrial fibrillation |
| title_sort | successful selective his bundle pacing to the patient with permanent atrial fibrillation |
| topic | heart conduction system pacing his bundle pacing permanent atrial fibrillation |
| url | https://almclinmed.ru/jour/article/viewFile/1654/1497 |
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