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Zero-Fluoroscopy Left Bundle Branch Pacing in Pregnancy Using Electroanatomic Mapping.
Jose Luis Morales-Velázquez1, Erick Sánchez-Rodriguez1, Hugo Enrique Coutiño-Moreno1
1Department of Cardiac Electrophysiology, Hospital De Cardiología, Centro Medico Nacional Siglo XXI, IMSS, México City, México.
Left bundle branch pacing (LBBP) provides physiological activation and prevents cardiomyopathy. Zero-fluoroscopy LBBP using 3D electroanatomic mapping (EAM) is a safe, radiation-free option for pregnant patients with AV block.
Area of Science:
- Cardiology
- Electrophysiology
- Maternal-Fetal Medicine
Background:
- Left bundle branch pacing (LBBP) promotes physiological ventricular activation, potentially preventing pacing-induced cardiomyopathy in young patients.
- Eliminating fluoroscopy is critical in vulnerable populations, like pregnant women, to prevent fetal radiation exposure.
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