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Related Concept Videos

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
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Holter Monitor: 24-Hour Monitoring01:23

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Articles linked to this work by shared authors, journal, and citation graph.

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Unexpected twist: large marginal branch occlusion of the left circumflex artery unveiled by immediate and pivotal cardiac magnetic resonance imaging in a 19-year-old with suspected myocarditis-a case report.

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Cardiac implantable electronic device upgrades and downgrades: a Clinical Consensus Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Asia Pacific Heart Rhythm Association (APHRS), Canadian Heart Rhythm Society (CHRS), Heart Rhythm Society (HRS), and the Latin American Heart Rhythm Society (LAHRS).

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[Resynchronization of left bundle branch block by His bundle pacing : A case series].

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Related Experiment Video

Updated: Dec 20, 2025

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

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His bundle pacing: troubleshooting during follow-up.

Carsten W Israel1, Sona Tribunyan2

  • 1Klinik für Innere Medizin - Kardiologie, Diabetologie & Nephrologie, Evangelisches Klinikum Bethel, Burgsteig 13, 33617, Bielefeld, Germany. Carsten.Israel@evkb.de.

Herzschrittmachertherapie & Elektrophysiologie
|May 30, 2020
PubMed
Summary

Interpreting electrocardiograms for His bundle pacing (HBP) requires expertise. This summary covers challenges in threshold measurement, oversensing, and undersensing for effective pacemaker management.

Keywords:
HBPOversensingPacemaker ECGPacemaker follow-upThreshold measurement

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • His bundle pacing (HBP) is an advanced pacing technique.
  • Follow-up requires specialized electrocardiogram (ECG) interpretation skills.
  • Distinguishing selective HBP from loss of capture can be challenging.

Purpose of the Study:

  • To outline the complexities in ECG interpretation for His bundle pacing.
  • To provide guidance on troubleshooting common and specific pacing issues.
  • To enhance understanding of His bundle pacing follow-up.

Main Methods:

  • Utilizing 12-lead ECG recordings.
  • Employing unipolar pacing mode for threshold testing.
  • Pacing in VVI mode above intrinsic heart rate.

Main Results:

  • Selective HBP and pseudofusion present similar ECG findings.
  • Oversensing of atrial activity or His bundle potentials can cause asystole.
  • Ventricular undersensing and dual-lead systems complicate ECG analysis.

Conclusions:

  • Accurate ECG interpretation is crucial for His bundle pacing management.
  • Specific pacing modes and settings aid in threshold assessment.
  • Awareness of potential oversensing and undersensing issues is vital.