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Permanent Bi-Bundle Pacing in a Patient With Heart Failure and Left Bundle Branch Block.
JACC. Case reports. 2022 December 22
Left bundle branch pacing (LBBP) is effective in patients with heart failure, left ventricular ejection fraction (LVEF) of ≤35%, and a widened QRS complex. LBBP leads to iatrogenic incomplete right bundle branch block (iRBBB). Bi-bundle pacing can resolve iRBBB, further narrowing the QRS duration, and may improve LVEF. ( Level of Difficulty: Advanced. ).
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