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Updated: Mar 17, 2026

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Anatomical approach to permanent His bundle pacing: Optimizing His bundle capture.

Pugazhendhi Vijayaraman¹, Gopi Dandamudi²

¹Geisinger Heart Institute, Wilkes Barre, PA.

Journal of Electrocardiology

|July 27, 2016

Summary

Permanent His bundle pacing offers a physiological alternative to conventional right ventricular pacing for patients with conduction disease. Understanding His bundle anatomy is key to achieving optimal pacing outcomes.

Keywords:

His bundle pacing Intra-Hisian AV block Nonselective His bundle pacing Selective His bundle pacing

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Area of Science:

Cardiology
Electrophysiology
Cardiac Pacing

Background:

Right ventricular pacing can lead to dyssynchrony and adverse outcomes.
His bundle pacing presents a more physiological alternative by capturing the native conduction system.

Observation:

This article details an anatomical approach to permanent His bundle pacing.
Focuses on patients with atrioventricular nodal and intra-Hisian conduction disease.

Findings:

Successful His bundle pacing depends on understanding the anatomical course of the His bundle.
Case examples illustrate how anatomical variations influence pacing type.

Implications:

This anatomical understanding can improve the success and efficacy of His bundle pacing.
Offers a refined technique for physiological pacing in complex cardiac conditions.