Jiabo Shen MD , Longfu Jiang MD , Hengdong Li MD , Hao Wu MD , Lifang Pan MD
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Left bundle branch pacing guide by uninterrupted recording of intrinsic filtered and unfiltered intracardiac electrograms
Background
Currently, the interrupted recording technique is commonly used to perform left bundle branch (LBB) pacing (LBBP). However, this method requires repeated testing to confirm that the LBB is captured and perforations are avoided. An automated solution may make this repetitive work easier.
Case summary
LBBP was performed using an uninterrupted recording technique in an 86-year-old woman. Lead position and LBB capture was confirmed by the characteristics of the intrinsic filtered and unfiltered intracardiac electrograms.
Conclusion
Continuous mapping and recording technique may help achieve more accurate positioning of LBBP lead in the ventricular septum.
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.