Conduction disease in cardiac amyloidosis patients: A case series suggesting a role for left bundle branch area pacing
Transthyretin Cardiac amyloidosis (ATTR-CA) is an increasingly recognised cause of heart failure in our elderly patients with preserved ejection fraction. Patients with ATTR-CA who require permanent pacemaker implantation often have preserved ejection fraction and do not meet the clinical indication...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Indian Pacing and Electrophysiology Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0972629225000014 |
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| author | Ojas H. Mehta Keyrian Louis Le Gratiet Markus Sikkel Laurence D. Sterns |
| author_facet | Ojas H. Mehta Keyrian Louis Le Gratiet Markus Sikkel Laurence D. Sterns |
| author_sort | Ojas H. Mehta |
| collection | DOAJ |
| description | Transthyretin Cardiac amyloidosis (ATTR-CA) is an increasingly recognised cause of heart failure in our elderly patients with preserved ejection fraction. Patients with ATTR-CA who require permanent pacemaker implantation often have preserved ejection fraction and do not meet the clinical indication for cardiac resynchronization therapy (CRT). In these patients, left bundle branch area pacing (LBBAP) can be a reasonable option to maximise physiological activation of the left ventricle. We describe a series of three patients with cardiac amyloidosis who have undergone LBBAP with the use of lumenless leads and successful capture of the myocardium and left bundle branch region. |
| format | Article |
| id | doaj-art-dd18d8948b7c46a3b0114fa6b01f8f31 |
| institution | Kabale University |
| issn | 0972-6292 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj-art-dd18d8948b7c46a3b0114fa6b01f8f312025-08-20T03:49:33ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922025-03-0125210410710.1016/j.ipej.2025.01.001Conduction disease in cardiac amyloidosis patients: A case series suggesting a role for left bundle branch area pacingOjas H. Mehta0Keyrian Louis Le Gratiet1Markus Sikkel2Laurence D. Sterns3Royal Jubilee Hospital, Vancouver Island Health Authority, British Columbia, Canada; Corresponding author. Royal Jubilee Hospital, 1952 Bay St, Victoria, BC, V8R 1J8, Canada.Department of Medicine, University of British Columbia, CanadaRoyal Jubilee Hospital, Vancouver Island Health Authority, British Columbia, CanadaRoyal Jubilee Hospital, Vancouver Island Health Authority, British Columbia, CanadaTransthyretin Cardiac amyloidosis (ATTR-CA) is an increasingly recognised cause of heart failure in our elderly patients with preserved ejection fraction. Patients with ATTR-CA who require permanent pacemaker implantation often have preserved ejection fraction and do not meet the clinical indication for cardiac resynchronization therapy (CRT). In these patients, left bundle branch area pacing (LBBAP) can be a reasonable option to maximise physiological activation of the left ventricle. We describe a series of three patients with cardiac amyloidosis who have undergone LBBAP with the use of lumenless leads and successful capture of the myocardium and left bundle branch region.http://www.sciencedirect.com/science/article/pii/S0972629225000014Cardiac amyloidosisLeft bundle branch area pacingPhysiological pacingATTR amyloidosisConduction disease |
| spellingShingle | Ojas H. Mehta Keyrian Louis Le Gratiet Markus Sikkel Laurence D. Sterns Conduction disease in cardiac amyloidosis patients: A case series suggesting a role for left bundle branch area pacing Indian Pacing and Electrophysiology Journal Cardiac amyloidosis Left bundle branch area pacing Physiological pacing ATTR amyloidosis Conduction disease |
| title | Conduction disease in cardiac amyloidosis patients: A case series suggesting a role for left bundle branch area pacing |
| title_full | Conduction disease in cardiac amyloidosis patients: A case series suggesting a role for left bundle branch area pacing |
| title_fullStr | Conduction disease in cardiac amyloidosis patients: A case series suggesting a role for left bundle branch area pacing |
| title_full_unstemmed | Conduction disease in cardiac amyloidosis patients: A case series suggesting a role for left bundle branch area pacing |
| title_short | Conduction disease in cardiac amyloidosis patients: A case series suggesting a role for left bundle branch area pacing |
| title_sort | conduction disease in cardiac amyloidosis patients a case series suggesting a role for left bundle branch area pacing |
| topic | Cardiac amyloidosis Left bundle branch area pacing Physiological pacing ATTR amyloidosis Conduction disease |
| url | http://www.sciencedirect.com/science/article/pii/S0972629225000014 |
| work_keys_str_mv | AT ojashmehta conductiondiseaseincardiacamyloidosispatientsacaseseriessuggestingaroleforleftbundlebranchareapacing AT keyrianlouislegratiet conductiondiseaseincardiacamyloidosispatientsacaseseriessuggestingaroleforleftbundlebranchareapacing AT markussikkel conductiondiseaseincardiacamyloidosispatientsacaseseriessuggestingaroleforleftbundlebranchareapacing AT laurencedsterns conductiondiseaseincardiacamyloidosispatientsacaseseriessuggestingaroleforleftbundlebranchareapacing |