Autopsy evaluation of the implantation site of a His bundle pacing lead demonstrating selective capture
Evaluations of His bundle pacing (HBP) lead location at autopsy examination have been rarely reported. We report an autopsy case of a 98‐year‐old man who underwent HBP implantation due to atrioventricular block and heart failure. Although selective HBP was achieved with an acceptable threshold, the...
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Veröffentlicht in: | Pacing and clinical electrophysiology 2020-11, Vol.43 (11), p.1412-1416 |
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container_title | Pacing and clinical electrophysiology |
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creator | Kato, Hiroyuki Igawa, Osamu Suga, Kazumasa Murakami, Hisashi Kada, Kenji Tsuboi, Naoya Yanagisawa, Satoshi Inden, Yasuya Murohara, Toyoaki |
description | Evaluations of His bundle pacing (HBP) lead location at autopsy examination have been rarely reported. We report an autopsy case of a 98‐year‐old man who underwent HBP implantation due to atrioventricular block and heart failure. Although selective HBP was achieved with an acceptable threshold, the stimulus‐to‐QRS interval was relatively longer without correction of the right bundle‐branch block. A macroscopic examination revealed that the HBP lead was inserted on the ventricular side passing through the anteroseptal commissure of the tricuspid valve. Transthyretin cardiac amyloidosis may affect the distal conduction system resulting in a long stimulus‐to‐QRS interval during selective HBP. |
doi_str_mv | 10.1111/pace.13989 |
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We report an autopsy case of a 98‐year‐old man who underwent HBP implantation due to atrioventricular block and heart failure. Although selective HBP was achieved with an acceptable threshold, the stimulus‐to‐QRS interval was relatively longer without correction of the right bundle‐branch block. A macroscopic examination revealed that the HBP lead was inserted on the ventricular side passing through the anteroseptal commissure of the tricuspid valve. Transthyretin cardiac amyloidosis may affect the distal conduction system resulting in a long stimulus‐to‐QRS interval during selective HBP.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/pace.13989</identifier><identifier>PMID: 32548908</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Amyloidosis ; atrioventricular block ; Autopsy ; Congestive heart failure ; His bundle pacing ; pacemaker ; Transthyretin ; transthyretin cardiac amyloidosis ; Tricuspid valve ; Ventricle</subject><ispartof>Pacing and clinical electrophysiology, 2020-11, Vol.43 (11), p.1412-1416</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4239-3d183f75f5bcc555540ab69bb98aa759061ca37adec5816cf9007fa4b33c18503</citedby><cites>FETCH-LOGICAL-c4239-3d183f75f5bcc555540ab69bb98aa759061ca37adec5816cf9007fa4b33c18503</cites><orcidid>0000-0002-0658-5498 ; 0000-0001-5732-5672</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpace.13989$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpace.13989$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32548908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kato, Hiroyuki</creatorcontrib><creatorcontrib>Igawa, Osamu</creatorcontrib><creatorcontrib>Suga, Kazumasa</creatorcontrib><creatorcontrib>Murakami, Hisashi</creatorcontrib><creatorcontrib>Kada, Kenji</creatorcontrib><creatorcontrib>Tsuboi, Naoya</creatorcontrib><creatorcontrib>Yanagisawa, Satoshi</creatorcontrib><creatorcontrib>Inden, Yasuya</creatorcontrib><creatorcontrib>Murohara, Toyoaki</creatorcontrib><title>Autopsy evaluation of the implantation site of a His bundle pacing lead demonstrating selective capture</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Evaluations of His bundle pacing (HBP) lead location at autopsy examination have been rarely reported. We report an autopsy case of a 98‐year‐old man who underwent HBP implantation due to atrioventricular block and heart failure. Although selective HBP was achieved with an acceptable threshold, the stimulus‐to‐QRS interval was relatively longer without correction of the right bundle‐branch block. A macroscopic examination revealed that the HBP lead was inserted on the ventricular side passing through the anteroseptal commissure of the tricuspid valve. Transthyretin cardiac amyloidosis may affect the distal conduction system resulting in a long stimulus‐to‐QRS interval during selective HBP.</description><subject>Amyloidosis</subject><subject>atrioventricular block</subject><subject>Autopsy</subject><subject>Congestive heart failure</subject><subject>His bundle pacing</subject><subject>pacemaker</subject><subject>Transthyretin</subject><subject>transthyretin cardiac amyloidosis</subject><subject>Tricuspid valve</subject><subject>Ventricle</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEQhoMoWqsXf4AEvIiwNWmS3eRYSrVCQQ96XrLZ2ZqyX26ylf57U7d68OBcBiYPz0xehK4omdBQ9602MKFMSXWERlRwEkkq1DEaEcqTSDKpztC5cxtCSEy4OEVnbCq4VESO0HrW-6Z1OwxbXfba26bGTYH9O2BbtaWu_TBz1sP-QeOldTjr67wEHBbbeo1L0DnOoWpq57uAh5GDEoy3W8BGt77v4AKdFLp0cHnoY_T2sHidL6PV8-PTfLaKDJ8yFbGcSlYkohCZMSIUJzqLVZYpqXUiFImp0SzRORghaWwKRUhSaJ4xZqgUhI3R7eBtu-ajB-fTyjoDZfgJNL1Lp5xyTmnwBPTmD7pp-q4O1wUqJjROZDhmjO4GynSNcx0UadvZSne7lJJ0H3-6jz_9jj_A1wdln1WQ_6I_eQeADsCnLWH3jyp9mc0Xg_QLOHyP_A</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Kato, Hiroyuki</creator><creator>Igawa, Osamu</creator><creator>Suga, Kazumasa</creator><creator>Murakami, Hisashi</creator><creator>Kada, Kenji</creator><creator>Tsuboi, Naoya</creator><creator>Yanagisawa, Satoshi</creator><creator>Inden, Yasuya</creator><creator>Murohara, Toyoaki</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0658-5498</orcidid><orcidid>https://orcid.org/0000-0001-5732-5672</orcidid></search><sort><creationdate>202011</creationdate><title>Autopsy evaluation of the implantation site of a His bundle pacing lead demonstrating selective capture</title><author>Kato, Hiroyuki ; Igawa, Osamu ; Suga, Kazumasa ; Murakami, Hisashi ; Kada, Kenji ; Tsuboi, Naoya ; Yanagisawa, Satoshi ; Inden, Yasuya ; Murohara, Toyoaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4239-3d183f75f5bcc555540ab69bb98aa759061ca37adec5816cf9007fa4b33c18503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Amyloidosis</topic><topic>atrioventricular block</topic><topic>Autopsy</topic><topic>Congestive heart failure</topic><topic>His bundle pacing</topic><topic>pacemaker</topic><topic>Transthyretin</topic><topic>transthyretin cardiac amyloidosis</topic><topic>Tricuspid valve</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kato, Hiroyuki</creatorcontrib><creatorcontrib>Igawa, Osamu</creatorcontrib><creatorcontrib>Suga, Kazumasa</creatorcontrib><creatorcontrib>Murakami, Hisashi</creatorcontrib><creatorcontrib>Kada, Kenji</creatorcontrib><creatorcontrib>Tsuboi, Naoya</creatorcontrib><creatorcontrib>Yanagisawa, Satoshi</creatorcontrib><creatorcontrib>Inden, Yasuya</creatorcontrib><creatorcontrib>Murohara, Toyoaki</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kato, Hiroyuki</au><au>Igawa, Osamu</au><au>Suga, Kazumasa</au><au>Murakami, Hisashi</au><au>Kada, Kenji</au><au>Tsuboi, Naoya</au><au>Yanagisawa, Satoshi</au><au>Inden, Yasuya</au><au>Murohara, Toyoaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Autopsy evaluation of the implantation site of a His bundle pacing lead demonstrating selective capture</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2020-11</date><risdate>2020</risdate><volume>43</volume><issue>11</issue><spage>1412</spage><epage>1416</epage><pages>1412-1416</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Evaluations of His bundle pacing (HBP) lead location at autopsy examination have been rarely reported. We report an autopsy case of a 98‐year‐old man who underwent HBP implantation due to atrioventricular block and heart failure. Although selective HBP was achieved with an acceptable threshold, the stimulus‐to‐QRS interval was relatively longer without correction of the right bundle‐branch block. A macroscopic examination revealed that the HBP lead was inserted on the ventricular side passing through the anteroseptal commissure of the tricuspid valve. Transthyretin cardiac amyloidosis may affect the distal conduction system resulting in a long stimulus‐to‐QRS interval during selective HBP.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32548908</pmid><doi>10.1111/pace.13989</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-0658-5498</orcidid><orcidid>https://orcid.org/0000-0001-5732-5672</orcidid></addata></record> |
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subjects | Amyloidosis atrioventricular block Autopsy Congestive heart failure His bundle pacing pacemaker Transthyretin transthyretin cardiac amyloidosis Tricuspid valve Ventricle |
title | Autopsy evaluation of the implantation site of a His bundle pacing lead demonstrating selective capture |
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