Download PDF
Kardiologie up2date 2022; 18(03): 249-264
DOI: 10.1055/a-1404-5902
Herzrhythmusstörungen

Praxis der His-Bündel-Stimulation

Christian Fastner
,
Ibrahim Akin
,
Jürgen Kuschyk
› Further Information
Also available at
    Permissions and Reprints All articles of this category

Konventionelle ventrikuläre Schrittmacherstimulationen sind mit unphysiologischer Erregungsausbreitung im Ventrikelmyokard verbunden. Dies kann zur Ausbildung oder Verschlechterung einer Herzinsuffizienzsymptomatik führen. Die His-Bündel-Stimulation zielt auf die Aktivierung des ventrikulären Reizleitungssystems ab und soll dadurch solche negativen Effekte verhindern.
Kernaussagen

  • Die His-Bündel-Stimulation (HBS) ist ein Weg zur „physiologischen“ Stimulation.

  • Die HBS ist mit modernen Aggregaten und Elektroden nach Überwinden einer Lernkurve sicher zu etablieren.

  • Patienten mit rechtsventrikulärer Stimulationsrate > 20–40% durch AV-Blockierungen oder mit AV-Knotenablation bei therapierefraktärem Vorhofflimmern können profitieren.

  • Ebenso können Patienten mit konventioneller Indikation zur kardialen Resynchronisationstherapie profitieren. Die Ergebnisse großer vergleichender Studien gegenüber der biventrikulären Stimulation stehen noch aus.

  • Beobachtungsstudien zeigten wiederholt signifikante Verbesserungen bei der Belastbarkeit, der linksventrikulären Ejektionsfraktion und eine geringere Hospitalisierungsrate gegenüber einer rechtsventrikulären Stimulation.

Schlüsselwörter

Schrittmachertherapie - kardiale Resynchronisation - Herzinsuffizienz


Publication History

Article published online:
05 September 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Vijayaraman P, Chung MK, Dandamudi G. et al. His Bundle Pacing. J Am Coll Cardiol 2018; 72: 927-947
    CrossrefPubMedSearch in Google Scholar
  • 2 Kawashima T, Sasaki H. A macroscopic anatomical investigation of atrioventricular bundle locational variation relative to the membranous part of the ventricular septum in elderly human hearts. Surg Radiol Anat 2005; 27: 206-213
    CrossrefPubMedSearch in Google Scholar
  • 3 James TN, Sherf L. Fine structure of the His bundle. Circulation 1971; 44: 9-28
    CrossrefPubMedSearch in Google Scholar
  • 4 Lewis AJM, Foley P, Whinnett Z. et al. His Bundle Pacing: A New Strategy for Physiological Ventricular Activation. J Am Heart Assoc 2019; 8: e010972
    CrossrefPubMedSearch in Google Scholar
  • 5 Glikson M, Nielsen JC, Kronborg MB. et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J 2021; 42: 3427-3520
    CrossrefPubMedSearch in Google Scholar
  • 6 Vijayaraman P, Dandamudi G, Worsnick S. et al. Acute His-Bundle Injury Current during Permanent His-Bundle Pacing Predicts Excellent Pacing Outcomes. Pacing Clin Electrophysiol 2015; 38: 540-546
    CrossrefPubMedSearch in Google Scholar
  • 7 Vijayaraman P, Dandamudi G, Zanon F. et al. Permanent His bundle pacing: Recommendations from a Multicenter His Bundle Pacing Collaborative Working Group for standardization of definitions, implant measurements, and follow-up. Heart Rhythm 2018; 15: 460-468
    CrossrefPubMedSearch in Google Scholar
  • 8 Zhang S, Zhou X, Gold MR. Left Bundle Branch Pacing: JACC Review Topic of the Week. J Am Coll Cardiol 2019; 74: 3039-3049
    CrossrefPubMedSearch in Google Scholar
  • 9 Nielsen JC, Thomsen PE, Højberg S. et al. A comparison of single-lead atrial pacing with dual-chamber pacing in sick sinus syndrome. Eur Heart J 2011; 32: 686-696
    CrossrefPubMedSearch in Google Scholar
  • 10 Sweeney MO, Hellkamp AS, Ellenbogen KA. et al. Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction. Circulation 2003; 107: 2932-2937
    CrossrefPubMedSearch in Google Scholar
  • 11 Deshmukh P, Casavant DA, Romanyshyn M. et al. Permanent, direct His-bundle pacing: a novel approach to cardiac pacing in patients with normal His-Purkinje activation. Circulation 2000; 101: 869-877
    CrossrefPubMedSearch in Google Scholar
  • 12 Israel CW, Tribunyan S, Richter S. Indications for His bundle and left bundle branch pacing. Herzschrittmacherther Elektrophysiol 2020; 31: 135-143
    CrossrefPubMedSearch in Google Scholar
  • 13 Kiehl EL, Makki T, Kumar R. et al. Incidence and predictors of right ventricular pacing-induced cardiomyopathy in patients with complete atrioventricular block and preserved left ventricular systolic function. Heart Rhythm 2016; 13: 2272-2278
    CrossrefPubMedSearch in Google Scholar
  • 14 Upadhyay GA, Vijayaraman P, Nayak HM. et al. On-treatment comparison between corrective His bundle pacing and biventricular pacing for cardiac resynchronization: A secondary analysis of the His-SYNC Pilot Trial. Heart Rhythm 2019; 16: 1797-1807
    CrossrefPubMedSearch in Google Scholar
  • 15 Sharma PS, Naperkowski A, Bauch TD. et al. Permanent His Bundle Pacing for Cardiac Resynchronization Therapy in Patients With Heart Failure and Right Bundle Branch Block. Circ Arrhythm Electrophysiol 2018; 11: e006613
    CrossrefPubMedSearch in Google Scholar
  • 16 Vijayaraman P, Naperkowski A, Ellenbogen KA. et al. Electrophysiologic Insights Into Site of Atrioventricular Block: Lessons From Permanent His Bundle Pacing. JACC Clin Electrophysiol 2015; 1: 571-581
    CrossrefPubMedSearch in Google Scholar
  • 17 Hindricks G, Potpara T, Dagres N. et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). Eur Heart J 2021; 42: 373-498
    Search in Google Scholar
  • 18 Brugada J, Katritsis DG, Arbelo E. et al. 2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC). Eur Heart J 2020; 41: 655-720
    Search in Google Scholar
  • 19 Sharma AD, Rizo-Patron C, Hallstrom AP. et al. Percent right ventricular pacing predicts outcomes in the DAVID trial. Heart Rhythm 2005; 2: 830-834
    CrossrefPubMedSearch in Google Scholar
  • 20 Qi J, Jia X, Wang Z. His bundle pacing for cardiac resynchronization therapy: a systematic literature review and meta-analysis. J Interv Card Electrophysiol 2020; 59: 463-470
    CrossrefPubMedSearch in Google Scholar
  • 21 Qian Z, Zou F, Wang Y. et al. Permanent His bundle pacing in heart failure patients: A systematic review and meta-analysis. Pacing Clin Electrophysiol 2019; 42: 139-145
    CrossrefPubMedSearch in Google Scholar
  • 22 Vijayaraman P, Herweg B, Ellenbogen KA. et al. His-Optimized Cardiac Resynchronization Therapy to Maximize Electrical Resynchronization: A Feasibility Study. Circ Arrhythm Electrophysiol 2019; 12: e006934
    CrossrefPubMedSearch in Google Scholar
  • 23 Lustgarten DL, Sharma PS, Vijayaraman P. Troubleshooting and programming considerations for His bundle pacing. Heart Rhythm 2019; 16: 654-662
    CrossrefPubMedSearch in Google Scholar
  • 24 Yu Z, Chen R, Su Y. et al. Integrative and quantitive evaluation of the efficacy of his bundle related pacing in comparison with conventional right ventricular pacing: a meta-analysis. BMC Cardiovasc Disord 2017; 17: 221
    CrossrefPubMedSearch in Google Scholar
  • 25 Zanon F, Ellenbogen KA, Dandamudi G. et al. Permanent His-bundle pacing: a systematic literature review and meta-analysis. Europace 2018; 20: 1819-1826
    CrossrefPubMedSearch in Google Scholar
  • 26 Slotwiner DJ, Raitt MH, Del-Carpio Munoz F. et al. Impact of Physiologic Pacing Versus Right Ventricular Pacing Among Patients With Left Ventricular Ejection Fraction Greater Than 35%: A Systematic Review for the 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation 2019; 140: e483-e503
    CrossrefPubMedSearch in Google Scholar
  • 27 Kronborg MB, Mortensen PT, Poulsen SH. et al. His or para-His pacing preserves left ventricular function in atrioventricular block: a double-blind, randomized, crossover study. Europace 2014; 16: 1189-1196
    CrossrefPubMedSearch in Google Scholar
  • 28 Vijayaraman P, Naperkowski A, Subzposh FA. et al. Permanent His-bundle pacing: Long-term lead performance and clinical outcomes. Heart Rhythm 2018; 15: 696-702
    CrossrefPubMedSearch in Google Scholar
  • 29 Abdelrahman M, Subzposh FA, Beer D. et al. Clinical Outcomes of His Bundle Pacing Compared to Right Ventricular Pacing. J Am Coll Cardiol 2018; 71: 2319-2330
    CrossrefPubMedSearch in Google Scholar
  • 30 Lustgarten DL, Crespo EM, Arkhipova-Jenkins I. et al. His-bundle pacing versus biventricular pacing in cardiac resynchronization therapy patients: A crossover design comparison. Heart Rhythm 2015; 12: 1548-1557
    CrossrefPubMedSearch in Google Scholar
  • 31 Vijayaraman P, Dandamudi G, Lustgarten D. et al. Permanent His bundle pacing: Electrophysiological and echocardiographic observations from long-term follow-up. Pacing Clin Electrophysiol 2017; 40: 883-891
    CrossrefPubMedSearch in Google Scholar