{"id":30019,"date":"2019-12-10T15:22:01","date_gmt":"2019-12-10T15:22:01","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=30019"},"modified":"2019-12-10T15:22:01","modified_gmt":"2019-12-10T15:22:01","slug":"downside-of-his-bundle-pacing","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/downside-of-his-bundle-pacing\/","title":{"rendered":"Downside of His bundle pacing"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Downside of His bundle pacing<\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-30020\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/12\/Downside-of-His-bundle-pacing.jpg\" alt=\"\" width=\"880\" height=\"495\" \/><\/p>\n<p>His bundle pacing is an option for physiological pacing compared to right ventricular pacing which can cause dyssynchrony with cardiac failure and atrial fibrillation in the long run. But there are some limitations for His bundle pacing:<\/p>\n<ol>\n<li>Difficulty in implantation<\/li>\n<li>Lower success rates in those with wide QRS<\/li>\n<li>High pacing threshold in some instances<\/li>\n<li>Unstable pacing thresholds in some<\/li>\n<\/ol>\n<h3><span style=\"color: #0000ff;\">Reference<\/span><\/h3>\n<ol>\n<li>Zhang S, Zhou X, Gold MR. Left Bundle Branch Pacing. J Am Coll Cardiol. 2019;74:3039-49,<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Downside of His bundle pacing His bundle pacing is an option for physiological pacing compared to right ventricular pacing which can cause dyssynchrony with cardiac failure and atrial fibrillation in the long run. But there are some limitations for His bundle pacing: Difficulty in implantation Lower success rates in those with wide QRS High pacing [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":30020,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[6],"tags":[],"class_list":["post-30019","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ecg-electrophysiology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Downside of His bundle pacing - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/downside-of-his-bundle-pacing\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Downside of His bundle pacing - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"Downside of His bundle pacing His bundle pacing is an option for physiological pacing compared to right ventricular pacing which can cause dyssynchrony with cardiac failure and atrial fibrillation in the long run. But there are some limitations for His bundle pacing: Difficulty in implantation Lower success rates in those with wide QRS High pacing [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/downside-of-his-bundle-pacing\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2019-12-10T15:22:01+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/downside-of-his-bundle-pacing\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/downside-of-his-bundle-pacing\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Downside of His bundle pacing\",\"datePublished\":\"2019-12-10T15:22:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/downside-of-his-bundle-pacing\\\/\"},\"wordCount\":85,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/downside-of-his-bundle-pacing\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"ECG \\\/ Electrophysiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/downside-of-his-bundle-pacing\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/downside-of-his-bundle-pacing\\\/\",\"name\":\"Downside of His bundle pacing - 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