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Todays LBBp patient. Narrow QRS, His position with low sensing, so LBBp, but w/o LBB potential. Is narrow QRS, paced RBBB morphology and short LVAT enought to confirm LBB capture? Marek Jastrzębski Paweł Moskal @ryan33035613 Xueying Chen, MD, PhD, FHRS Weijian Huang Pugal Vijayaraman Parikshit S Sharma, MD, MPH, FACC, FHRS

Fantastic lecture on physiologic pacing. Doctor Pablo Moriña showing the very first case of CRT with His pacing. 👏🏼

Magnífica Editorial sobre estimulación Hisiana. Echo de menos referencias a los trabajos de grupos españoles publicados tanto en REC Publications como en otras revistas. Arritmias Huelva

¡¡Esperamos que os guste!! secardiologia.es/estimulacion/f… @MLFidalgoAndres Lluís Mont F.Javier Garcia Fernandez Adolfo Fontenla Marta Pombo Jimenez Julian P Villacastin José Maria González Arritmias Huelva Sección Cardiología Geriátrica @CarrenoLorente

Nuestra ponencia en Ritmo 2020 youtu.be/KFvzXJ7lP2Y HU Juan Ramón Jiménez Arritmias Huelva

We continue to make progress in #physiologicalpacing. Now in CRT candidate patients, the QRS response to #Hispacing can be predicted according to the LBBB pattern in ECG. Arritmias Huelva Soc Esp Cardiología Arritmias y Cardiopatias Familiares. HUVN. Granada Sociedad Argentina de Electrofisiología Cardíaca

Ganesh Venkataraman EP_Bot Matthew Goldstein @gopi_gdanda1 Pugal Vijayaraman Congratulations. Years ago we used to put backup cable. Today, we feel safe and confident with only the His lead, even in CHB, because we know that the lesion is located on the His trunk in most of the cases. Arritmias Huelva #dontdisthehis

curilakarol Marek Jastrzębski Paweł Moskal Xueying Chen, MD, PhD, FHRS Weijian Huang Pugal Vijayaraman Parikshit S Sharma, MD, MPH, FACC, FHRS The truth is that we still have a lot to learn about the stimulation of the conduction system, distal to the His bundle. On the contrary, the ECG patterns of His bundle pacing are perfectly defined.

Premian una investigación del Hospital Juan Ramón Jiménez que predice qué pacientes con insuficiencia cardiaca mejorarán con un tipo de marcapasos huelva24.com/art/142051/pre…

Felicitaciones a Consejo de Arritmias SAC @ComunidadFAC Sociedad Argentina de Electrofisiología Cardíaca por este gran evento! Enormes referentes de las arritmias en #ENA2020 Te esperamos! Jose Luis Merino Dr. Pablo Moriña Vázquez Angel Moya Mitjans Armando Pérez Silva CarinaHardyEP Fermin Carlos Garcia

Gran presentación del Dr Pablo Moriña Vázquez sobre estimulación Hisiana. Gracias por participar en el Encuentro Nacional de Arritmias. Dr. Pablo Moriña Vázquez

Third degree AV block. Pacemaker implantation with "left bundle branch stimulation". What is the final width of the paced QRS?. 126 vs 162 ms? What is the correct way to measure it?

58-yo patient, LVEF 32%, no scar on MRI and intermitent LBBB. His pacing - CRT. Intracardiac recording initially showing low rate-dependent LBBB. After implanting an electrode in His, mechanical RBBB, rate dependent AV block and no block pacing his at high rate.

CORRECTION OF RATE DEPENDENTE LBBB WITH HBP. 24 hours later mechanical RBBB has resolved. Rate dependent LBBB persists; 1.1 conduction with selective capture of his bundle and normal QRS at high rates.

First experiences with the deflectable sheath Medtronic 304 His. In our opinion, it improves the results in LBB pacing, facilitating penetration of the septum, especially in cases of AV block post TAVI such as the one shown and provides more estability for His bundle fixation

Medtronic deflectable 304 His, allowed us HBP, correcting a preexisting RBBB. The HB electrogram could not be recorded with non-steerable sheath. Patient suffered from pulmonary HT and persistent AF without rate control despite high dose of drugs. AVN ablation proposed.

First experience of #hisbundlepacing with Boston Ingevity electrode and SSPC1 sheath. 78 seconds of fluoroscopy and selective capture threshold 0.8 volts,0.4 ms. Happy that companies have finally convinced of the need to develop new tools for #physiologicalpacing. No way back.

Zero fluoroscopy atrioventricular node ablation and left bundle branch pacing guided by electroanatomic tridimensional mapping system. #dontdisthehis #Epeeps

@miguelalvarlop Lo de la guías..... Más le valdría preocuparse por recomendar modos de estimulación fisiológicos. Mismos generadores, mismos electrodos, QRS estrechos, experiencia de muchos años y ya en muchos centros, parámetros de estimulación y longevidades aceptables. ¿Cuál es el problema?.