Estimulación permanente del haz de His tras ablación mediante radiofrecuencia del nodo auriculoventricular en pacientes con trastorno de la conducción suprahisiano

Vázquez, Pablo Moriña; Pichardo, R. Barba; Gamero, José Venegas; Saiz, Alejandra Álvarez; Lozano, Valle Moreno; Gómez, Juan Manuel; Carranza, M. Herrera

doi:10.1016/s0300-8932(01)76521-9

Cited by 48 publications

(5 citation statements)

References 41 publications

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“…Although HBP was initially described in this setting, 11,12 the treatment results for these patients have not been described until recently. Vijayaraman et al 24 previously reported a series of 40 patients who underwent AV node ablation after a successful HBP.…”

Section: Discussionmentioning

confidence: 99%

“…Although HBP was initially described in this setting, 11,12 the treatment results for these patients have not been described until recently.…”

Section: Discussionmentioning

confidence: 99%

“…The benefits of p-HBP have been known since it was first reported in 2000−2001. 11,12 Moreover, p-HBP is considered an alternative to conventional cardiac resynchronization therapy (CRT). [13][14][15][16][17][18][19] Taking previous evidence into account, we performed this descriptive study to demonstrate the advantages of AV node ablation and p-HBP, and to describe the effectiveness and safety of AV node ablation after His bundle pacing (HBP).…”

Section: Introductionmentioning

confidence: 99%

“…However, permanent His bundle pacing (p‐HBP), which induces a physiological ventricular contraction that prevents long‐term ventricular dysfunction, could be a more physiological option for ventricular pacing after AV node ablation. The benefits of p‐HBP have been known since it was first reported in 2000−2001 11,12 . Moreover, p‐HBP is considered an alternative to conventional cardiac resynchronization therapy (CRT) 13–19 …”

Section: Introductionmentioning

confidence: 99%

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Effectiveness and safety of AV node ablation after His bundle pacing in patients with uncontrolled atrial arrhythmias

Moriña‐Vázquez

Salas

Arce-León

et al. 2021

Pacing Clinical Electrophis

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Introduction In patients with uncontrolled atrial fibrillation, atrioventricular (AV) node ablation after permanent His bundle pacing (p‐HBP) could be a therapeutic option for heart rate (HR) control. We aimed to demonstrate the advantages of AV node ablation with p‐HBP, and to describe its effectiveness and safety. Methods This descriptive observational study included patients with uncontrolled permanent atrial arrhythmias who were candidates for HR control (January 2019 to July 2020) and underwent p‐HBP and AV node ablation. Results A total of 39 patients were included. The median left ventricular ejection fraction (LVEF) was 55% (45–60); 46.1% in NYHA class II and 43.6% in NYHA class III. p‐HBP was achieved in 92.3% (n = 36), and AV node ablation was successfully performed in all patients. The LVEF improved in patients with reduced LVEF (baseline, 35% [23.8–45.3%]; follow‐up, 40% [35–56.5%], p < 0.05); the NYHA class also showed improvement (baseline, 71.4% patients in class III and 7.1% in class II, and at follow‐up, 78.6% patients in class II and 14.3% in class I). In patients with previously normal LVEF, LVEF remained stable; nevertheless, a significant NYHA class improvement was observed (baseline, 63.6% class II and 31.8% class III patients; follow‐up, 54.5% class I and 45.5% class II patients). The His thresholds and lead parameter values did not significantly change during the follow‐up and remained stable. Conclusions In patients with uncontrolled atrial arrhythmias who underwent AV node ablation after p‐HBP, the NYHA class improved and the LVEF increased in those with reduced baseline LVEF. The values of pacing parameters were acceptable and remained stable during the follow‐up.

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Section: Discussionmentioning

confidence: 99%

“…Although HBP was initially described in this setting, 11,12 the treatment results for these patients have not been described until recently.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness and safety of AV node ablation after His bundle pacing in patients with uncontrolled atrial arrhythmias

Moriña‐Vázquez

Salas

Arce-León

et al. 2021

Pacing Clinical Electrophis

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show abstract

“…It produces a physiological ventricular contraction, which prevents long‐term ventricular dysfunction. Its benefits have been known since the first publications about it in 2000‐2001 1,2 …”

Section: Introductionmentioning

confidence: 99%

Electrocardiographic patterns predictive of left bundle branch block correction with His bundle pacing

Moriña‐Vázquez

Salas

Arce-León

et al. 2020

Pacing Clinical Electrophis

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Introduction: Permanent His bundle pacing (p-HBP) could be an alternative for traditional cardiac resynchronization therapy (CRT), but an important limitation is that p-HBP cannot always correct the left bundle branch block (LBBB). The purpose of this article is to assess electrocardiographic patterns of LBBB that can predict electrocardiographic response (QRS narrowing) to His bundle pacing. Methods: We designed a prospective descriptive study of patients with LBBB and CRT indication proposed for CRT by p-HBP. We analyzed the correlation between the different electrocardiographic patterns and the correction of conduction disturbance (LBBB). Results: We included 70 patients. Pacing at the location where His bundle electrogram was recorded narrowed the QRS in 81.4% (n = 57). Basically, we identified two electrocardiographic patterns in lead V1: QS or rS. The QS pattern was a sensitivity of 56%, a specificity of 84.6%, and a positive predictive value (PPV) of 94.1% to predict the correction of the LBBB (area under the curve [AUC] = .70). In patients with rS pattern, a ratio between the descending and the ascending S wave component duration ≥0.64 was a very good predictor of the correction of the LBBB (AUC = .968); with a value ≥0.64, the sensitivity, specificity, and PPV was 92%, 100%, and 100%, respectively. Conclusions: In patients with LBBB and CRT indication, the QS pattern in lead V1 predicts the correction of the QRS with HBP. In the case of rS pattern in lead V1, the ratio descending/ascending S wave component duration has a strong correlation with the LBBB correction.

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Hemodynamics of Cardiac Pacing and Pacing Mode Selection

Stambler

Varma

2014

Cardiac Pacing and ICDs

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Estimulación permanente del haz de His tras ablación mediante radiofrecuencia del nodo auriculoventricular en pacientes con trastorno de la conducción suprahisiano

Cited by 48 publications

References 41 publications

Effectiveness and safety of AV node ablation after His bundle pacing in patients with uncontrolled atrial arrhythmias

Effectiveness and safety of AV node ablation after His bundle pacing in patients with uncontrolled atrial arrhythmias

Electrocardiographic patterns predictive of left bundle branch block correction with His bundle pacing

Hemodynamics of Cardiac Pacing and Pacing Mode Selection

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