Author + information
- Received December 4, 2019
- Revision received March 17, 2020
- Accepted March 18, 2020
- Published online July 20, 2020.
- aCardiac Pacing Unit, Cardiology Department, University Hospital of Geneva, Geneva, Switzerland
- bFirst Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University, Medical College, Krakow, Poland
- cGeisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes Barre, Pennsylvania
- ↵∗Address for correspondence:
Dr. Haran Burri, Cardiac Pacing Unit, Cardiology Department, Geneva University Hospital, Rue Gabrielle Perret-Gentil 4, 1211 Geneva 14, Switzerland.
• At HBP implantation and follow-up, the ECG is central for threshold testing and optimizing programming.
• Selective and nonselective His capture, with and without correction of bundle branch block, should be recognized.
• Physicians should be aware of ECG features and pacing maneuvers that help identify type of His capture.
His bundle pacing (HBP) is steadily gaining interest for providing physiological cardiac stimulation. Careful analysis of the electrocardiogram (ECG) is crucial to confirm capture of conduction tissue, which is a prerequisite for successful HBP at implantation and follow-up. However, interpretation of the ECG with HBP can be challenging. This review provides the reader with practical guidance on how to best use and troubleshoot the 12-lead ECG for HBP in daily clinical practice.
Dr. Burri has received institutional fellowship support/research grants or consultancy/speaker fees from Abbott, Biotronik, Boston Scientific, Medtronic, and Microport. Dr. Jastrzebski has received consultancy/speaker fees from Abbott and Medtronic. Dr. Vijayaraman has received fellowship support from Medtronic; has received consultancy/speaker fees from Medtronic, Abbott, Biotronik, Boston Scientific, and Biosense-Webster; has been a consultant for Eaglepoint; and has a patent pending for a His bundle pacing delivery tool.
The authors attest they are in compliance with human studies committees and animal welfare regulations of the authors’ institutions and Food and Drug Administration guidelines, including patient consent where appropriate. For more information, visit the JACC: Clinical Electrophysiology author instructions page.
- Received December 4, 2019.
- Revision received March 17, 2020.
- Accepted March 18, 2020.
- 2020 The Authors