Electrocardiographic Analysis for His Bundle Pacing at Implantation and Follow-Up

Haran Burri; Marek Jastrzebski; Pugazhendhi Vijayaraman

doi:10.1016/j.jacep.2020.03.005

Electrocardiographic Analysis for His Bundle Pacing at Implantation and Follow-Up

JACC Clin Electrophysiol. 2020 Jul;6(7):883-900. doi: 10.1016/j.jacep.2020.03.005.

Authors

Haran Burri¹, Marek Jastrzebski², Pugazhendhi Vijayaraman³

Affiliations

¹ Cardiac Pacing Unit, Cardiology Department, University Hospital of Geneva, Geneva, Switzerland. Electronic address: Haran.burri@hcuge.ch.
² First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University, Medical College, Krakow, Poland.
³ Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes Barre, Pennsylvania, USA.

PMID: 32703577
DOI: 10.1016/j.jacep.2020.03.005

Abstract

His bundle pacing (HBP) is steadily gaining interest for providing physiological cardiac stimulation. Careful analysis of the electrocardiogram (ECG) is crucial to confirm capture of conduction tissue, which is a prerequisite for successful HBP at implantation and follow-up. However, interpretation of the ECG with HBP can be challenging. This review provides the reader with practical guidance on how to best use and troubleshoot the 12-lead ECG for HBP in daily clinical practice.

Keywords: His bundle pacing; cardiac resynchronization therapy; implantable cardioverter defibrillator; pacemaker.

Publication types

Review

MeSH terms

Bundle of His*
Cardiac Pacing, Artificial*
Electrocardiography
Follow-Up Studies
Heart Rate
Humans