His bundle pacing – a new word in technology of pacing and treatment of heart failure

Ya.V. Skybchyk 1, 2, Ye.V. Zhytyns’kiy 1, О.М. Grytsay 1, V.О. Kuts 2, О.J. Zharinov 2, Working Group of the All-Ukrainian Association of Specialists in Arrhythmology and Cardiac Electrophysiology

1 Heart Institute, Ministry of Health of Ukraine, Kyiv, Ukraine
2 Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

The article presents review of the literature, clinical studies and current guidelines for the usage of His bundle pacing – a new method of treatment of bradycardia and heart blockades. Despite certain temporary limitations – lack of results of the large randomized trials, necessity of the special surgeon's experience in implantation of the electrode, there are reasons to consider His bundle pacing as a promising alternative to the existing methods of treatment of bradyarrhythmias (e.g. classic right ventricular pacing, cardiac resynchronization therapy), particularly in patients with a predicted high (> 40 %) percentage of right ventricular pacing and decreased left ventricular systolic function.

Key words: His bundle pacing, atrioventricular block, heart failure.

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