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Pacing of the specialized His-Purkinje conduction system: 'back to the future'

E. Bressi, D. Grieco, K. Čurila, F. Zanon, L. Marcantoni, JA. Cabrera, E. De Ruvo, K. Vernooy, L. Calò

. 2023 ; 25 (Suppl C) : C234-C241. [pub] 20230426

Status neindexováno Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc23009872

The conduction system of the human heart is composed of specialized cardiomyocytes that initiate and propagate the electric impulse with consequent rhythmic and synchronized contraction of the atria and ventricles, resulting in the normal cardiac cycle. Although the His-Purkinje system (HPS) was already described more than a century ago, there has been a recent resurgence of conduction system pacing (CSP), where pacing leads are positioned in the His bundle region and left bundle branch area to provide physiological cardiac activation as alternatives to the unnatural myocardial stimulation obtained with conventional right ventricular and biventricular pacing. In this review, we describe the fundamental anatomical and pathophysiological aspects of the specialized HPS along with the CSP technique's nuts and bolts to highlight its potential benefits in everyday clinical practice.

Citace poskytuje Crossref.org

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$a Grieco, Domenico $u Department of Cardiovascular Sciences, Policlinico Casilino of Rome, Via Casilina, 1049, 00169 Rome, Italy
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$a Čurila, Karol $u Department of Cardiology, Cardiocenter, Third Faculty of Medicine, Charles University, University Hospital Kralovske Vinohrady, Ruská 2411, 100 00 Prague 10-Vinohrady, Czech Republic
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$a Marcantoni, Lina $u Arrhythmia and Electrophysiology Unit, Department of Cardiology, Santa Maria della Misericordia General Hospital, Viale Tre Martiri, 140, 45100 Rovigo, Italy
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$a Cabrera, Jose Angel $u Unidad de Arritmias, Departamento de Cardiología, Hospital Universitario Quirón-Salud Madrid and Complejo Hospitalario Ruber Juan Bravo, Universidad Europea de Madrid, Calle de Juan Bravo, 49, 28006 Madrid, Spain
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$a De Ruvo, Ermenegildo $u Department of Cardiovascular Sciences, Policlinico Casilino of Rome, Via Casilina, 1049, 00169 Rome, Italy
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$a Vernooy, Kevin $u Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands
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