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Author(s): Nadine Ali , Daniel Keene , Ahran D Arnold , et al Added: 3 years ago
His bundle pacing in humans was first described in 1970 by Narula et al.1 They demonstrated that it was possible to stimulate the His bundle to produce normal physiological ventricular activation via the His-Purkinje system. However, the first report of permanent His bundle pacing, by Deshmukh et al., did not occur until 2000.2 In that study, His pacing was performed in a series of patients with… View more

Heart Failure

Electrophysiology & Arrhythmia
Author(s): Ahran D Arnold , Nadine Ali , Daniel Keene , et al Added: 3 years ago
Dear Sir, We read Dr Zografos’ response to our article1 with interest. He agrees with the findings of our review but highlights two important issues for further discussion, which we address below. Right ventricular lead position Dr Zografos points out that randomised comparisons of different right ventricular lead positions have not shown superiority of septal pacing over apical pacing.2 This… View more

Electrophysiology & Arrhythmia
Defining Left Bundle Branch Block Patterns in Cardiac Resynchronisation Therapy: A Return to His Bundle Recordings
Author(s): Roderick Tung , Gaurav A Upadhyay Added: 3 years ago
In 1970, Durrer et al. recorded the total excitation of the human heart with 870 electrodes and confirmed the first 10 ms of left ventricular (LV) activation as trifascicular in nature.1 The rapid and synchronous activation of the LV through the specialised His–Purkinje network is highly intricate and efficient, preserving normal physiological coupling between electrical excitation and mechanical… View more

Electrophysiology & Arrhythmia
Author(s): Theodoros A Zografos Added: 3 years ago
Dear Sir, I read with great interest the elegant article by Ali et al.1 on His bundle pacing in issue 17.2 of AER. I do concur with the authors’ view and conclusions. However, there are two issues that may merit further attention. First, specific His-bundle pacing is indeed the reasonable option that mimics the natural ventricular excitation. However, no benefit of mid-septal over apical pacing… View more

Heart Failure

Electrophysiology & Arrhythmia
His–Purkinje Conduction System Pacing: State of the Art in 2020
Author(s): Ahran D Arnold , Zachary I Whinnett , Pugazhendhi Vijayaraman Added: 3 years ago
Right ventricular apical pacing (RVAP) results in dyssynchronous ventricular activation that can lead to impairment of ventricular function. Alternative myocardial pacing sites such as RV septal pacing (RVSP) and RV outflow tract pacing still rely on myocardial cell-to-cell conduction and have not been shown to prevent pacing-induced cardiomyopathy.1 Biventricular pacing (BVP) certainly improves… View more

Electrophysiology & Arrhythmia
Left Bundle Branch Pacing: A Perfect Compromise?
Author(s): Alexandre Raymond-Paquin , Santosh K Padala , Kenneth A Ellenbogen Added: 2 years ago

Electrophysiology & Arrhythmia
Author(s): Nishant Verma , Bradley P Knight Added: 3 years ago
A Brief History of Cardiac Pacing Electrical stimulation of the heart was used sporadically throughout the 19th century, generating a set of case reports, largely related to attempts to resuscitate people.1 The contemporary field of cardiac pacing emerged in the 20th century (Figure 1). The first use of pacemakers in a modern sense was in the late 1920s when Australian anaesthetist Mark Lidwell… View more

Electrophysiology & Arrhythmia
Permanent Pacing of the Conduction Axis
Author(s): José-Ángel Cabrera , Robert H Anderson , Andreu Porta-Sánchez , et al Added: 2 years ago

Electrophysiology & Arrhythmia
Cardiac Resynchronisation with Conduction System Pacing
Author(s): Fatima M Ezzeddine , Isaac G Leon , Yong-Mei Cha Added: 8 months ago

Electrophysiology & Arrhythmia
Conduction System Pacing for Cardiac Resynchronisation
Author(s): Parikshit S Sharma , Pugazhendhi Vijayaraman Added: 3 years ago

Electrophysiology & Arrhythmia