Chest Pain Resolution with His-bundle Pacing in a Patient with Left Bundle Branch Block-related Nonischemic Left

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Updated: Dec 19, 2025

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

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

Published on: December 11, 2017

10.8K

Martha G Ferrara1, Roger V Cappucci1, Daniel Y Wang1

  • 1White Plains Hospital Center, Montefiore Health System, White Plains, NY, USA.

The Journal of Innovations in Cardiac Rhythm Management
|June 5, 2020
PubMed

Insights

Chest pain in patients with left bundle branch block (LBBB) can be linked to myocardial dyssynchrony. His-bundle pacing and remote monitoring offer potential treatment and management strategies for this condition.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Case Reports

Background:

  • Chest pain in patients with left bundle branch block (LBBB) and normal coronary arteries is a recognized but poorly understood clinical presentation.
  • Existing literature suggests intermittent LBBB and chest pain syndrome, yet the underlying causes and effective treatments remain unclear.

Observation:

  • A case report details a 51-year-old female presenting with symptoms suggestive of this under-recognized condition.
  • The proposed mechanism involves myocardial dyssynchrony, though this requires further investigation.

Findings:

  • His-bundle pacing is explored as a therapeutic option to restore normal cardiac conduction and potentially alleviate symptoms.
  • Remote monitoring (RM) is identified as a critical tool for managing patients with cardiac implantable electronic devices in this population.

Implications:

  • This case highlights the importance of considering myocardial dyssynchrony in patients with LBBB and chest pain.
  • His-bundle pacing and remote monitoring represent promising avenues for managing this challenging patient group.
  • Further research is warranted to elucidate the pathophysiology and optimize treatment strategies for LBBB-associated chest pain.

Keywords:
Chest pain syndromeHis-bundle pacingleft bundle branch blockremote monitoring

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