open access

Vol 13, No 1 (2018)
Electrotherapy
Published online: 2018-03-23
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His-bundle injury current and transient accelerated junctional rhythm: clinical and technical considerations

Adam Ciesielski, Łukasz Grydz, Dariusz Hiczkiewicz, Jakub Adamowicz, Jacek Gajek, Agnieszka Sławuta, Jarosław Hiczkiewicz
DOI: 10.5603/FC.2018.0015
·
Folia Cardiologica 2018;13(1):83-85.

open access

Vol 13, No 1 (2018)
Electrotherapy
Published online: 2018-03-23

Abstract

We present a case of dual chamber cardioverter-defibrillator placement with atrial lead implanted in His-bundle area, resulting in current of injury and accelerated nodal rhythm recorded in pacing system analyzer, rarely seen in clinical practice. Such presentation resulted in excellent pacing and sensing conditions, despite primarily doubtful setting.

Abstract

We present a case of dual chamber cardioverter-defibrillator placement with atrial lead implanted in His-bundle area, resulting in current of injury and accelerated nodal rhythm recorded in pacing system analyzer, rarely seen in clinical practice. Such presentation resulted in excellent pacing and sensing conditions, despite primarily doubtful setting.
Get Citation

Keywords

direct His-bundle pacing, His-bundle injury current, His-bundle injury rhythm, heart failure; atrial fibrillation

About this article
Title

His-bundle injury current and transient accelerated junctional rhythm: clinical and technical considerations

Journal

Folia Cardiologica

Issue

Vol 13, No 1 (2018)

Pages

83-85

Published online

2018-03-23

DOI

10.5603/FC.2018.0015

Bibliographic record

Folia Cardiologica 2018;13(1):83-85.

Keywords

direct His-bundle pacing
His-bundle injury current
His-bundle injury rhythm
heart failure
atrial fibrillation

Authors

Adam Ciesielski
Łukasz Grydz
Dariusz Hiczkiewicz
Jakub Adamowicz
Jacek Gajek
Agnieszka Sławuta
Jarosław Hiczkiewicz

References (7)
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  2. Oswald H, Husemann B, Gardiwal A, et al. Morphology of current of injury does not predict long term active fixation ICD lead performance. Indian Pacing Electrophysiol J. 2009; 9(2): 81–90.
  3. Sharma PS, Dandamudi G, Naperkowski A, et al. Permanent His-bundle pacing is feasible, safe, and superior to right ventricular pacing in routine clinical practice. Heart Rhythm. 2015; 12(2): 305–312.
  4. Vijayaraman P, Dandamudi G, Worsnick S, et al. Acute His-bundle injury current during permanent His-bundle pacing predicts excellent pacing outcomes. Pacing Clin Electrophysiol. 2015; 38(5): 540–546.
  5. Lo W, Marchuk DA, Ball KL, et al. Brain Vascular Malformation Consortium National Sturge-Weber Syndrome Workgroup. Updates and future horizons on the understanding, diagnosis, and treatment of Sturge-Weber syndrome brain involvement. Dev Med Child Neurol. 2012; 54(3): 214–223.
  6. Lipscomb KJ, Zaidi AM, Fitzpatrick AP, et al. Slow pathway modification for atrioventricular node re-entrant tachycardia: fast junctional tachycardia predicts adverse prognosis. Heart. 2001; 85(1): 44–47.
  7. Haqqani HM, Roberts-Thomson KC. Radiofrequency catheter ablation for ventricular tachycardia. Heart Lung Circ. 2012; 21(6-7): 402–412.

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