AccScience Publishing / BH / Volume 2 / Issue 1 / DOI: 10.36922/bh.1670
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A novel pacing strategy for heart block in bilateral septal pacing: A case report

Shanshan He1† Wanyu Zhao1† Xiaoli Dong1 Ke Liu1 Yulong Guo1 Tao Guo1 Yu Qiao1 Guo Dong Niu1,2 Yan Shen1* Jinrui Guo1*
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1 Department of Arrhythmia, Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences, Beijing, China
2 Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
Brain & Heart 2024, 2(1), 1670
Submitted: 24 August 2023 | Accepted: 21 November 2023 | Published: 13 February 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( )

We present the case of a patient referred for conduction system pacemaker implantation after a complete block associated with transcatheter aortic valve replacement and reduced left ventricular function. In this case, we achieved bilateral septal pacing through the anodal capture of the right ventricular septum during bipolar pacing. This approach generated superior ventricular mechanical synchrony compared to left ventricular septum pacing (LVSP).

Bilateral septal pacing
Left bundle branch pacing
Conduction system pacing
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Conflict of interest
The authors declare no conflict of interest.
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Brain & Heart, Electronic ISSN: 2972-4139 Published by AccScience Publishing