ArticleFrontiers in cardiovascular medicine2022
Case report: Left bundle branch pacing guided by real-time monitoring of current of injury and electrocardiography.
Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Delayed Stimulus to V6 R-Wave Peak Time for Selective Left Bundle Branch Pacing: Characteristics and Underlying Mechanisms.CJC open · 2026Article
- Continuous Pacing and Recording Technique: A Real-Time Feedback Approach for Left Bundle Branch Pacing.CJC open · 2025Review
- Clinical impact and predictors of periprocedural myocardial injury among patients undergoing left bundle branch area pacing.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024Article
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6 authors.
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Abstract
Background: Left bundle branch (LBB) pacing (LBBP) has recently emerged as a physiological pacing mode. Current of injury (COI) can be used as the basis for electrode fixation position and detection of perforation. However, because the intermittent pacing method cannot monitor the changes in COI in real time, it cannot obtain information about the entire COI change process during implantation. Case summary: Left bundle branch pacing was achieved for treatment of atrioventricular block in a 76-year-old female. Uninterrupted electrocardiogram and electrogram were recorded on an electrophysiology system. In contrast to the interrupted pacing method, this continuous pacing and recording technique enables real-time monitoring of the change in ventricular COI and the paced QRS complex as the lead advances into the interventricular septum. During the entire screw-in process, the COI amplitude increased and then decreased gradually after reaching the peak, followed by a small but significant, rather than dramatic, decrease. Conclusion: This case report aims to demonstrate the clinical significance of changes in COI and QRS morphology for LBBP using real-time electrocardiographic monitoring and filtered and unfiltered electrograms when the lead is deployed using a continuous pacing technique. The technique could be used to confirm LBB capture and avoid perforation.
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