{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:39:42Z","timestamp":1777891182540,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["THC"],"published-print":{"date-parts":[[2023,11,16]]},"abstract":"<jats:p>BACKGROUND: Pacing is the most effective and dependable method for treating complete atrioventricular block (AVB). OBJECTIVE: The purpose of this study is to investigate the use of His bundle pacing (HBP) in patients with atrioventricular block. METHODS: Patients who underwent HBP or right ventricular pacing (RVP) were enrolled and divided into two groups: the HBP group and the RVP group, respectively. We compared baseline clinical data, fluoroscopy duration, operation duration, pacing electrode parameters during the operation or follow-up, baseline QRS duration, and pacing QRS duration. RESULTS: HBP was attempted in 48 patients and was successful in 34 patients who were included in the HBP group. In addition, 30 RVP patients were included in the RVP group. Fluoroscopy duration and operation duration were significantly longer in the HBP group compared to the RVP group. Compared to the RVP group, the HBP group had a higher pacing threshold, a lower R wave amplitude, and a shorter pacing QRS duration. At 6 months of follow-up, the pacing threshold remained higher, the R wave amplitude was significantly lower, and the end-diastolic diameter of the left ventricle was smaller in the HBP group. CONCLUSION: HBP was safe and effective for atrioventricular block despite the longer fluoroscopy and operation duration in the HBP group when compared to the RVP group.<\/jats:p>","DOI":"10.3233\/thc-220746","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T11:57:05Z","timestamp":1690286225000},"page":"2125-2134","source":"Crossref","is-referenced-by-count":1,"title":["His bundle pacing versus right ventricular pacing: A comparative study"],"prefix":"10.1177","volume":"31","author":[{"given":"Feng","family":"Li","sequence":"first","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"},{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bao-Han","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"},{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tong-Tong","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zi-Ping","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng-Ling","family":"An","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhao-Wei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun-Mei","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya-Yuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Affiliated Chuzhou Hospital of Anhui Medical University, Chuzhou, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/THC-220746_ref1","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s10741-018-9722-z","article-title":"Cardiac resynchronization therapy improves left ventricular remodeling and function compared with right ventricular pacing in patients with atrioventricular block","volume":"23","author":"Lu","year":"2018","journal-title":"Heart Fail Rev."},{"key":"10.3233\/THC-220746_ref2","doi-asserted-by":"crossref","first-page":"1766","DOI":"10.1016\/j.hrthm.2019.04.043","article-title":"Permanent left bundle branch area pacing for atrioventricular block: Feasibility, safety, and acute 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spot\u201d","volume":"38","author":"Tung","year":"2015","journal-title":"PACE."},{"key":"10.3233\/THC-220746_ref9","doi-asserted-by":"crossref","first-page":"3099","DOI":"10.1016\/j.jacc.2017.05.005","article-title":"The continued search for physiological pacing: Where are we now","volume":"69","author":"Vijayaraman","year":"2017","journal-title":"J Am Coll Cardiol."},{"key":"10.3233\/THC-220746_ref10","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.1016\/j.jacc.2012.11.007","article-title":"2012 ACCF\/AHA\/HRS Focused Update Incorporated Into the ACCF\/AHA\/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities","volume":"61","author":"Epstein","year":"2013","journal-title":"J Am Coll Cardiol."},{"key":"10.3233\/THC-220746_ref11","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1111\/pace.12904","article-title":"How to perform His bundle pacing: Tips and 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A novel approach to cardiac pacing in patients with normal His-purkinje activation","volume":"101","author":"Deshmukh","year":"2000","journal-title":"Circulation."},{"key":"10.3233\/THC-220746_ref14","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1093\/europace\/euq038","article-title":"Permanent His-bundlepacing: Seeking physiological ventricular pacing","volume":"12","author":"Barba-Pichardo","year":"2010","journal-title":"Europace."},{"key":"10.3233\/THC-220746_ref15","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1111\/j.1540-8159.2010.02951.x","article-title":"Safety and performance of a system specifically designed for selective site pacing","volume":"34","author":"Zanon","year":"2011","journal-title":"Pacing Clin Electrophysiol."},{"key":"10.3233\/THC-220746_ref16","doi-asserted-by":"crossref","unstructured":"Karpawich PP, Singh H, Zelin K. Optimizing paced ventricular function in patients with and without repaired congenital heart disease by contractility-guided lead implant. 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