Physiological electrocardiostimulation of the ventricles by the method of selective stimulation of the His bundle

Main Article Content

B. B. Kravchuk
O. Z. Paratsii
A. V. Yakushev
M. M. Sichik
V. F. Onischenko
U. P. Chernyaha-Royko

Abstract

The purpose of this work is to analyze the clinical case of conducting constant pacing of the ventricles by the method of selective implantation of the endocardial lead into the His bundle. The stimulation of His bundle in atrioventricular blockages is grounded on the fact that electrical activation of the ventricular myocardium is normally carried out through its own cardiac conduction system – the His – Purkinje system. Implantation of a stimulating lead directly into the cardiac conduction system prevents the distortion of the physiological sequence of different segments activation of the ventricular myocardium, which in the long term should minimize the negative impact on the ventricular systolic-diastolic function and reduce the risk of heart failure.

Article Details

Keywords:

physiological pacing, stimulation of the His bundle

References

Akerström F, Arias MA, Pachon M. The importance of avoiding unnecessary right ventricular pacing in clinical practice. World J. Cardiol.– P. 2013;5(11):410–419. doi: 10.4330/wjc.v5.i11.410.

Camm AJ, Lüscher TF, Maurer G. Orthostatic intolerance: orthostatic hypotension and postural orthostatic tachycardia syndrome in: ESC Textbook of Cardiovascular Medicine. ESC CardioMed.3 ed. Published online: Jul 2018. doi: 10.1093/med/9780198784906.001.0001.

Chow GV, Marine JE, Fleg JL. Epidemiology of arrhythmias and conduction disorders in older adults. Clin. Geriatr. Med. 2012;28(4):539–553. doi: 10.1016/j.cger.2012.07.003.

Ebrille E, DeSimone CV, Vaidya VR, Chahal AA, Nkomo VT, Asirvatham SJ. Ventricular pacing – Electromechanical consequences and valvular function. Indian Pacing Electrophysiol J. 2016 Jan-Feb;16(1):19-30. doi: 10.1016/j.ipej.2016.02.013. Epub 2016 Mar 4.

Keene D, Arnold A, Shun-Shin MJ, Howard JP, Sohaib SA, Moore P, Tanner M, Quereshi N, Muthumala A, Chandresekeran B, Foley P, Leyva F, Adhya S, Falaschetti E, Tsang H, Vijayaraman P, Cleland JGF, Stegemann B, Francis DP, Whinnett ZI. Rationale and design of the randomized multicentre His Optimized Pacing Evaluated for Heart Failure (HOPE-HF) trial. ESC Heart Fail. 2018 Oct;5(5):965–976. doi: 10.1002/ehf2.12315. Epub 2018 Jul 9.

Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, Goldschlager NF, Hamilton RM, Joglar JA, Kim RJ, Lee R, Marine JE, McLeod CJ, Oken KR, Patton KK, Pellegrini CN, Selzman KA, Thompson A, Varosy PD. 2018 ACC/AHA/HRS Guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay. J Am Coll Cardiol. 2018 Oct 31. pii: S0735-1097(18)38984-8. doi: 10.1016/j.jacc.2018.10.043. [Epub ahead of print]

Mirza M, Strunets A, Shen WK, Jahangir A. Mechanisms of arrhythmias and conduction disorders in older adults. Clin Geriatr Med. 2012;28(4):555–73. doi: 10.1016/j.cger.2012.08.005

Vijayaraman P, Chung MK, Dandamudi G. His Bundle Pacing. J. Amer. Coll. Cardiology. 2018;72, Issue 8. doi: 10.1016/j.jacc.2018.06.017.

Vijayaraman P, Dandamudi G. Anatomical approach to permanent His bundle pacing; Optimizing His bundle capture. J. Electrocardiol. 2016;49:649–657.

Vijayaraman P, Dandamudi G, Zanon F, Sharma PS, Tung R, Huang W, Koneru J, Tada H, Ellenbogen KA, Lustgarten DL. Permanent His bundle pacing: Recommendations from a Multicenter His Bundle Pacing Collaborative Working Group for standardization of definitions, implant measurements, and follow-up. Heart Rhytm. 2018;15(Issue 3):460–468. doi: 10.1016/j.hrthm.2017.10.039.

Zhuang L, Mao Y, Wu L, Niu W, Chen K. Effects of right ventricular septum or His-bundle pacing versus right ventricular apical pacing on cardiac function: A systematic review and meta-analysis of randomized controlled trials. J Int Med Res. 2018 Sep;46(9):3848-3860. doi: 10.1177/0300060518781415. Epub 2018 Jul 1.

Yu Z, Chen R, Su Y, Chen X, Qin S, Li M, Han F, Ge J. Integrative and quantitive evaluation of the efficacy of his bundle related pacing in comparison with conventional right ventricular pacing: a meta-analysis. BMC Cardiovasc Disord. 2017 Aug 11;17(1):221. doi: 10.1186/s12872-017-0649-4.