Abstract

Studies of cardiac resynchronization therapy (CRT) using left ventricular and right ventricular apex pacing have not shown great benefit in patients with right bundle branch block (RBBB). Right ventricular outflow (RVOS) pacing has been shown to employ the right bundle branch and His-Purkinje system. This would suggest that a single RVOS lead pacing the right bundle fused with the patients’ functioning left bundle branch would result in a narrowed QRS and functional improvement in left ventricular (LV) function.

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