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His-bundle pacing in a patient with dextrocardia, severe systolic dysfunction, and complete atrioventricular block  Manuel Molina-Lerma, MD, Juan Jiménez-Jáimez,

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Presentation on theme: "His-bundle pacing in a patient with dextrocardia, severe systolic dysfunction, and complete atrioventricular block  Manuel Molina-Lerma, MD, Juan Jiménez-Jáimez,"— Presentation transcript:

1 His-bundle pacing in a patient with dextrocardia, severe systolic dysfunction, and complete atrioventricular block  Manuel Molina-Lerma, MD, Juan Jiménez-Jáimez, MD, PhD, Rosa Macías-Ruiz, MD, Pablo Sánchez-Millán, MD, PhD, Luis Tercedor, MD, Miguel Álvarez, MD, PhD  HeartRhythm Case Reports  Volume 5, Issue 3, Pages (March 2019) DOI: /j.hrcr Copyright © 2018 Heart Rhythm Society Terms and Conditions

2 Figure 1 A: The lower record shows the endocavitary signal sensed by electrode, showing the ventriculogram (V) and retrograde hisiogram (H). The upper records show the surface electrocardiogram (ECG). B: The top image shows the surface ECG; in the middle is the electrogram of the His-bundle electrode (EGM HIS); the bottom image shows the marker channel. Ap = auricular pacing; Vn = ventricular noise; Vr = ventricular refractory. HeartRhythm Case Reports 2019 5, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: Atrial fibrillation with ventricular rhythm paced from the right ventricle, QRS 210 ms. B: Selective His-bundle pacing with narrow QRS interval, QRS 116 ms. HeartRhythm Case Reports 2019 5, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

4 Figure 3 Chest radiograph: His-bundle electrode (HIS) above, right ventricular electrode (V) below. HeartRhythm Case Reports 2019 5, DOI: ( /j.hrcr ) Copyright © 2018 Heart Rhythm Society Terms and Conditions

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