Abstract
His bundle pacing was presented as the most physiological mode of ventricular pacing. In the article we describe His pacing as an alternative cardiac pacing modality both for classic indications and resynchronization candidates. On the basis of personal experience and literature data a practical, step-by-step approach to direct His bundle pacing was described. With several ECG examples various forms of His bundle pacing were illustrated. Special attention was given to diagnosis of His bundle capture / loss of His bundle capture on the basis of ECG.
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