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His‐bundle pacing from the right atrium: Solving pacemaker implantation challenges post‐TriClip

Journal of Cardiovascular Electrophysiology

Abstract Introduction This case report highlights the novel role of His-bundle pacing (HBP) from right atrium, not just for preserving cardiac function, but also for avoiding interference with TriClip devices. Postprocedure, frequent significant sinus pauses required a pacemaker. HBP was chosen to avoid lead complications.

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Orthostatic hypotension onset after invasive procedure?

Dr. Smith's ECG Blog

Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted for overnight observation following outpatient placement of a mitral valve clip. This is unambiguous evidence of pacemaker malfunction. Imagine the pacemaker is set at a minimum rate of 60.

Pacemaker 110
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Cardiologists Train Large AI Model to Assess Heart Structure, Function

DAIC

The team of investigators built a dataset of 1,032,975 cardiac ultrasound videos and corresponding expert interpretations to develop EchoCLIP. Key takeaways from the study include: EchoCLIP displayed strong performance when assessing cardiac function using heart images.

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Left Bundle Branch Pacing Impact on QRS Amplitude in Different Pacing Voltages

Journal of Cardiovascular Electrophysiology

Methods This prospective observational study included patients with complete left bundle branch block (CLBBB) and cardiac resynchronization therapy (CRT) indication, as well as patients with QRSd<120ms and pacemaker indication. LBBP significantly improved cardiac function at 1week of follow-up.

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Cardiac resynchronization therapy (CRT) – why is it so important?

Cardiomatics

Cardiac resynchronization therapy (CRT) exists as an option for patients with heart failure with reduced ejection fraction (HFrEF), for whom pharmacotherapy alone is insufficient to reduce symptoms and control cardiac function [2].

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

Cardiac function is poor, with akinesis of the LAD territory. If there had been — a temporary atrial pacemaker could have been considered as a way of increasing the heart rate to suppress a bradycardia-dependent arrhythmia ("overdrive pacing"). The echo images below were obtained on the day of presentation after PCI.