scholarly journals Permanent His Bundle Pacing in atrioventricular block patients：A systematic review and meta-analysis

2021 ◽  
Author(s):  
Jie Gao ◽  
Gao Hua
Keyword(s):  
Left Ventricular Function ◽  
Success Rate ◽  
Ventricular Function ◽  
Atrioventricular Block ◽  
Meta Analysis ◽  
Left Ventricular ◽  
Ventricular Pacing ◽  
His Bundle ◽  
His Bundle Pacing

【Abstract】 Background:Cardiac pacemakers are still an effective method for the treatment of atrioventricular block diseases(AVB). Ventricular pacing results in adverse clinical outcome. For patients with atrioventricular conduction system disease, minimization ventricular pacing not be used to reduce the proportion of ventricular pacing and improve cardiac function. Recent studies have shown that His bundle pacing(HBP) can be an effective treatment for patients with atrioventricular block . The purpose of this study was to evaluate the effectiveness of His bundle in patients with AVB. Methods:We searched the studies from Pubmed,Embase and Cochrane Library database to evaluate the application of HBP in patients with AVB. From these studies, we extrated and summarized the related data such as implantation success rate, QRS width, pacing threshold at baseline and follow-up, assessment left ventricular function, complications. Results:This Meta- analysis included eight studies, including 430 patients. The success rate of implantation varied from 65% to 93%. The main indications of HBP were patients with AVB, including patients with atrioventricular node block and intranodal block. Left ventricular function(left ventricular ejection fraction) was not significantly improved during follow-up. The duration of QRS after HBP implantation was more narrow (113±18ms). Compared with the baseline level, the threshold of HBP was not significantly increased during follow-up. During an average of 12 months of follow-up, pacemaker-related complications occurred in 16 patients. Conclusion:Permanent HBP has shown promising results for patients with AVB in small observational studies. Randomized controlled trials are needed to assess the efficacy of HBP in these patients.

Acute Effects of His Bundle Pacing Versus Left Ventricular and Right Ventricular Pacing on Left Ventricular Function

2007 ◽  
Vol 100 (10) ◽  
pp. 1556-1560 ◽  
Author(s):  
Luigi Padeletti ◽  
Randy Lieberman ◽  
Jan Schreuder ◽  
Antonio Michelucci ◽  
Andrea Collella ◽  
...  
Keyword(s):  
Left Ventricular Function ◽  
Right Ventricular ◽  
Ventricular Function ◽  
Left Ventricular ◽  
Ventricular Pacing ◽  
Acute Effects ◽  
Right Ventricular Pacing ◽  
His Bundle ◽  
His Bundle Pacing

scholarly journals Percutaneous coronary intervention versus medical therapy for chronic total coronary occlusions: a systematic review and meta-analysis of randomised trials

2020 ◽  
Vol 29 (1) ◽  
pp. 30-41 ◽  
Author(s):  
A. van Veelen ◽  
J. Elias ◽  
I. M. van Dongen ◽  
L. P. C. Hoebers ◽  
B. E. P. M. Claessen ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Left Ventricular Function ◽  
Ventricular Function ◽  
Meta Analysis ◽  
Coronary Intervention ◽  
Target Lesion ◽  
Left Ventricular ◽  
Randomised Trials ◽  
Percutaneous Coronary

Abstract Background The results of chronic total occlusion percutaneous coronary intervention (CTO-PCI) trials are inconclusive. Therefore, we studied whether CTO-PCI leads to improvement of clinical endpoints and patient symptoms when combining all available randomised data. Methods and results This meta-analysis was registered in PROSPERO prior to starting. We performed a literature search and identified all randomised trials comparing CTO-PCI to optimal medical therapy alone (OMT). A total of five trials were included, comprising 1790 CTO patients, of whom 964 were randomised to PCI and 826 to OMT. The all-cause mortality was comparable between groups at 1‑year [risk ratio (RR) 1.70, 95% confidence interval (CI) 0.50–5.80, p = 0.40] and at 4‑year follow-up (RR 1.14, 95% CI 0.38–3.40, p = 0.81). There was no difference in the incidence of major adverse cardiac events (MACE) between groups at 1 year (RR 0.69, 95% CI 0.36–1.33, p = 0.27) and at 4 years (RR 0.85, 95% CI 0.60–1.22, p = 0.38). Left ventricular function and volumes at follow-up were comparable between groups. However, the PCI group had fewer target lesion revascularisations (RR 0.28, 95% CI 0.15–0.52, p < 0.001) and was more frequently free of angina at 1‑year follow-up (RR 0.65, 95% CI 0.50–0.84, p = 0.001), although the scores on the subscales of the Seattle Angina Questionnaire were comparable. Conclusion In conclusion, in this meta-analysis of 1790 CTO patients, CTO-PCI did not lead to an improvement in survival or in MACE as reported at long-term follow-up of up to 4 years, or to improvement of left ventricular function. However, CTO-PCI resulted in less angina and fewer target lesion revascularisations compared to OMT.

scholarly journals Improvement of Left Ventricular Function by Permanent Direct His-Bundle Pacing in a Case with Dilated Cardiomyopathy

2006 ◽  
Vol 22 (4) ◽  
pp. 245-250 ◽  
Author(s):  
Yukiko Sashida ◽  
Fumiaki Mori ◽  
Hiroyuki Arashi ◽  
Fumitaka Hosaka ◽  
Tsutomu Itai ◽  
...  
Keyword(s):  
Left Ventricular Function ◽  
Dilated Cardiomyopathy ◽  
Ventricular Function ◽  
Left Ventricular ◽  
His Bundle ◽  
His Bundle Pacing

Direct His-Bundle Pacing Improved Left Ventricular Function and Remodelling in a Biventricular Pacing Nonresponder

2016 ◽  
Vol 32 (12) ◽  
pp. 1577.e1-1577.e4 ◽  
Author(s):  
Peiren Shan ◽  
Lan Su ◽  
Xiao Chen ◽  
Lei Xu ◽  
Xianda Ni ◽  
...  
Keyword(s):  
Left Ventricular Function ◽  
Ventricular Function ◽  
Biventricular Pacing ◽  
Left Ventricular ◽  
His Bundle ◽  
His Bundle Pacing
Sign in / Sign up

Export Citation Format

Share Document