PMID- 36875168
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230307
IS  - 1671-5411 (Print)
IS  - 1671-5411 (Linking)
VI  - 20
IP  - 1
DP  - 2023 Jan 28
TI  - His bundle pacing versus left bundle branch pacing on ventricular function in 
      atrial fibrillation patients referred for pacing: a prospective crossover 
      comparison.
PG  - 51-60
LID - 10.26599/1671-5411.2023.01.006 [doi]
AB  - BACKGROUND: His bundle pacing (HBP) and left bundle branch pacing (LBBP) both 
      provide physiologic pacing which maintain left ventricular synchrony. They both 
      improve heart failure (HF) symptoms in atrial fibrillation (AF) patients. We 
      aimed to assess the intra-patient comparison of ventricular function and 
      remodeling as well as leads parameters corresponding to two pacing modalities in 
      AF patients referred for pacing in intermediate term. METHODS: Uncontrolled 
      tachycardia AF patients with both leads implantation successfully were randomized 
      to either modality. Echocardiographic measurements, New York Heart Association 
      (NYHA) classification, quality-of-life assessments and leads parameters were 
      obtained at baseline and at each 6-month follow up. Left ventricular function 
      including the left ventricular endo-systolic volume (LVESV), left ventricular 
      ejection fraction (LVEF) and right ventricular (RV) function quantified by 
      tricuspid annular plane systolic excursion (TAPSE) were all assessed. RESULTS: 
      Consecutively twenty-eight patients implanted with both HBP and LBBP leads 
      successfully were enrolled (69.1 +/- 8.1 years, 53.6% male, LVEF 59.2% +/- 13.7%). 
      The LVESV was improved by both pacing modalities in all patients (n = 23) and the 
      LVEF was improved in patients with baseline LVEF at less than 50% (n = 6). The 
      TAPSE was improved by HBP but not LBBP (n = 23). CONCLUSION: In this crossover 
      comparison between HBP and LBBP, LBBP was found to have an equivalent effect on 
      LV function and remodeling but better and more stable parameters in AF patients 
      with uncontrolled ventricular rates referred for atrioventricular node (AVN) 
      ablation. HBP could be preferred in patients with reduced TAPSE at baseline 
      rather than LBBP.
CI  - (c) 2023 JGC All rights reserved; www.jgc301.com.
FAU - Ye, Yang
AU  - Ye Y
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Gao, Bo
AU  - Gao B
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
AD  - Department of Cardiology, Zhejiang Rongjun Hospital, Jiaxing, Zhejiang Province, 
      China.
FAU - Lv, Yuan
AU  - Lv Y
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
AD  - Department of Cardiology, Lishui People's Hospital, Lishui, Zhejiang Province, 
      China.
FAU - Xu, Tian-Tian
AU  - Xu TT
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Zhang, Si-Si
AU  - Zhang SS
AD  - Department of Cardiology, Ningbo Ninth Hospital, Ningbo, Zhejiang Province, 
      China.
FAU - Lu, Xiao-Li
AU  - Lu XL
AD  - Department of Cardiology, Anji people's Hospital, Ningbo, Zhejiang Province, 
      China.
FAU - Yang, Ying
AU  - Yang Y
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Jiang, Dong-Mei
AU  - Jiang DM
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Pan, Yi-Wen
AU  - Pan YW
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Sheng, Xia
AU  - Sheng X
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Wang, Bei
AU  - Wang B
AD  - Department of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw 
      Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, 
      China.
FAU - Mao, Yan-Kai
AU  - Mao YK
AD  - Department of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw 
      Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, 
      China.
FAU - Zhang, Zu-Wen
AU  - Zhang ZW
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Chen, Shi-Quan
AU  - Chen SQ
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Zhang, Jie-Fang
AU  - Zhang JF
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Wang, Li
AU  - Wang L
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Jiang, Jiang-Fen
AU  - Jiang JF
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Sun, Ya-Xun
AU  - Sun YX
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Ma, Yan
AU  - Ma Y
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Wang, Fei-Ling
AU  - Wang FL
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Wang, Min
AU  - Wang M
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - He, Hong
AU  - He H
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Jiang, Chen-Yang
AU  - Jiang CY
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
FAU - Fu, Guo-Sheng
AU  - Fu GS
AD  - Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, 
      Zhejiang University, Hangzhou, Zhejiang Province, China.
LA  - eng
PT  - Journal Article
PL  - China
TA  - J Geriatr Cardiol
JT  - Journal of geriatric cardiology : JGC
JID - 101237881
PMC - PMC9975485
EDAT- 2023/03/07 06:00
MHDA- 2023/03/07 06:01
PMCR- 2023/01/28
CRDT- 2023/03/06 04:05
PHST- 2023/03/06 04:05 [entrez]
PHST- 2023/03/07 06:00 [pubmed]
PHST- 2023/03/07 06:01 [medline]
PHST- 2023/01/28 00:00 [pmc-release]
AID - jgc-20-1-51 [pii]
AID - 10.26599/1671-5411.2023.01.006 [doi]
PST - ppublish
SO  - J Geriatr Cardiol. 2023 Jan 28;20(1):51-60. doi: 10.26599/1671-5411.2023.01.006.