His-bundle pacing

What do we know so far?


  • Raoni de Castro Galvão
  • Carlos Eduardo Duarte
  • José Tarcísio Medeiros de Vasconcelos


Pacemaker, Artificial, Bundle of His, Cardiac Resynchronization Therapy Devices


His-bundle pacing provides a harmonic and synchronized
depolarization of both ventricles. It has been studied for more than 50 years. The development of new tools and leads has helped improve the implantation of pacemakers with His-bundle pacing routinely, especially in the last 15 years. According to current evidences, this modality of pacing is a promising alternative to traditional single-site right ventricular pacing for a potential reduction of artificial pacing-induced damages, such as ejection fraction decrease, hospital admission due to heart failure and even death. The use of His-bundle pacing has also been described as an alternative to cardiac  esynchronization therapy with encouraging results. Higher command threshold, inappropriate inhibitions or
oversensing ventricular loss of capture (atrial far-field) and potential lead displacements by septal leaflet motion of the mitral valve must be considered before implantation of a His-bundle pacemaker. Large randomized clinical trials with high statistical power are still needed for a better understanding of the benefits of His-bundle pacing at medium and long-term in comparison to traditional right ventricle pacing and cardiac resynchronization therapies.


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How to Cite

de Castro Galvão, R., Duarte, C. E., & Medeiros de Vasconcelos, J. T. (2017). His-bundle pacing: What do we know so far?. JOURNAL OF CARDIAC ARRHYTHMIAS, 31(3), 102–108. Retrieved from https://jca.org.br/jca/article/view/86



Cardiac Pacing