Accelerated idioventricular rhythm after left bundle branch pacing lead implantation

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of electrocardiology Pub Date : 2024-08-29 DOI:10.1016/j.jelectrocard.2024.153788
Yoji Iida , Junzo Inamura
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引用次数: 0

Abstract

Premature ventricular contractions with right bundle branch block morphology induced during left bundle branch (LBB) pacing (LBBP) lead implantation serve as a marker indicating that the lead is close to or has reached the LBB region. However, no reports to date have described accelerated idioventricular rhythm (AIVR) induced by LBBP lead deployment.

We herein describe a patient who underwent LBBP for complete atrioventricular block. The patient's intrinsic escape rhythm was overtaken by AIVR induced immediately after LBBP lead deployment.

AIVR is another marker indicating that the lead has reached the LBB region.

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左束支起搏导联植入术后加速性特发性心律失常。
左束支(LBB)起搏(LBBP)导联植入过程中诱发的具有右束支阻滞形态的室性早搏是一个标志,表明导联已接近或到达 LBB 区域。然而,迄今为止还没有任何报告描述过 LBBP 起搏导联部署诱发的加速性特发性心律(AIVR)。我们在此描述一名因完全性房室传导阻滞而接受 LBBP 治疗的患者。该患者的固有逸搏节律在 LBBP 导联部署后立即被诱发的 AIVR 所取代。AIVR 是表明导联已到达 LBB 区域的另一个标志。
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来源期刊
Journal of electrocardiology
Journal of electrocardiology 医学-心血管系统
CiteScore
2.70
自引率
7.70%
发文量
152
审稿时长
38 days
期刊介绍: The Journal of Electrocardiology is devoted exclusively to clinical and experimental studies of the electrical activities of the heart. It seeks to contribute significantly to the accuracy of diagnosis and prognosis and the effective treatment, prevention, or delay of heart disease. Editorial contents include electrocardiography, vectorcardiography, arrhythmias, membrane action potential, cardiac pacing, monitoring defibrillation, instrumentation, drug effects, and computer applications.
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