Painful left bundle branch block syndrome treated with his bundle pacing
Juan F Viles-Gonzalez1, Indrajeet Mahata1, Elad Anter2
1Tulane University, United States of America.
Journal of Electrocardiology
|December 1, 2018
Summary
Painful Left Bundle Branch Block (LBBB) Syndrome, though under-recognized, can be effectively treated with His bundle pacing. This case report shows complete chest pain resolution, offering a new treatment option.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Case Reports
Background:
- Painful Left Bundle Branch Block (LBBB) Syndrome is a rare and challenging clinical entity.
- Diagnosis and treatment strategies for this syndrome remain poorly defined.
- Previous attempts using right ventricular pacing have yielded inconsistent results.
Observation:
- A case report details a patient experiencing painful LBBB Syndrome.
- The patient presented with symptoms suggestive of this under-recognized condition.
- Standard pacing methods had not been previously explored or reported for this specific syndrome.
Findings:
- His bundle pacing (HBP) was implemented as a novel therapeutic approach.
- The patient experienced complete resolution of chest pain following HBP.
- This represents the first reported instance of successful chest pain management using HBP in painful LBBB Syndrome.
Implications:
- His bundle pacing emerges as a promising alternative treatment for painful LBBB Syndrome.
- This approach may offer significant symptom relief for affected patients.
- Further research is warranted to validate HBP as a standard treatment for this condition.
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