Pugazhendhi Vijayaraman et al. JACEP 2015;1:

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Presentation transcript:

Pugazhendhi Vijayaraman et al. JACEP 2015;1:571-581 Nonselective His Bundle Pacing (Top) Baseline 12-lead electrocardiogram of a patient with 2:1 atrioventricular block with right bundle branch block, QRS duration of 120 ms. (Middle) Intracardiac electrogram from the permanent His bundle pacing lead at the time of implantation. Atrial electrogram (A) is followed by His (H) and then ventricular (V) electrogram in a 2:1 fashion. (Arrow) His bundle injury current, which resolved in 20 min. (Bottom) atrioventricular sequential pacing. The pacing spike is immediately followed by QRS complexes with evidence for fusion from ventricular and His bundle capture. Note that the right bundle branch block has also resolved with His bundle pacing, suggesting both the atrioventricular block and right bundle branch block are at the level of the proximal His bundle. Pugazhendhi Vijayaraman et al. JACEP 2015;1:571-581 American College of Cardiology Foundation