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Operative therapy for cardiac arrhythmias: Setting the stage for catheter ablation

HeartRhythm

Using ECG recording and deductive reasoning, our teachers and predecessors classified the bradycardias and tachycardias and proposed many mechanisms, subsequently proven to be correct. Notwithstanding many insightful observations, the electrocardiogram (ECG) arguably ignited the big bang in our understanding of cardiac arrhythmias.

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Sinus bradycardia with junctional escape rhythm

All About Cardiovascular System and Disorders

Sinus bradycardia with junctional escape rhythm

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Prognostic benefits of His?Purkinje capture in physiological pacemakers for bradycardia

Journal of Cardiovascular Electrophysiology

Methods Consecutive patients with bradycardia indicated for pacing from 2016 to 2022 were prospectively followed for the clinical endpoints of heart failure (HF)-hospitalizations and all-cause mortality at 2 years. CSP should be preferred over VSP or RVP during pacing for bradycardia.

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Comparison of clinical outcomes between transthoracic echocardiography? and X?ray?guided left bundle branch pacing for bradycardia: A randomized controlled trial

Journal of Cardiovascular Electrophysiology

Procedure and fluoroscopy time, pacing parameters, electrophysiological and echocardiographic characteristics, as well as complications were recorded at implantation and during follow-up. Methods This is a single-center, prospective, randomized controlled study. min, p  = .002). Conclusion TTE-guided LBBP is a feasible and safe method.

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Symptomatic bradyarrhythmias in the athlete - underlying mechanisms and treatments

HeartRhythm

Bradyarrhythmias including sinus bradycardia and atrioventricular (AV) block are frequently encountered in endurance athletes especially at night.

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Assessment of ventricular electrical heterogeneity in left bundle branch pacing and left ventricular septal pacing by using various electrophysiological methods

Journal of Cardiovascular Electrophysiology

Methods Thirty-seven patients with a pacemaker indication for bradycardia or cardiac resynchronization therapy underwent LBBAP implantation. ECG, vectorcardiogram, ECG belt and UHF-ECG signals were recorded during RVP, LVSP and LBBP, and intrinsic activation.

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Transcutaneous Pacing: Part 3

EMS 12-Lead

Bradycardia with “borderline hypotension” as described by the paramedics (BP 104/40) with 3-lead ECG as seen in Figure 1 were found. Paramedics note that he is only responsive to deep painful stimuli with shallow ventilations. Rhonchi are auscultated bilaterally. Figure 1: Paramedics correctly note that this is a Complete Heart Block.