Reversal of Mechanical Dyssynchrony and Suppression of Atrial and Ventricular Ectopy With Left Bundle Branch Area Pacing.
Muhammet Dural, Gurbet Ozge Yunus, Istiklal Ozkaya et al.
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Case in brief
A 57-year-old man with left bundle branch block–induced cardiomyopathy underwent left bundle branch area pacing (LBBAP). After pacing, left ventricular ejection fraction improved to 58% at 6 months, premature ventricular contractions fell to 200 per day, and supraventricular extrasystoles were no longer observed. The report describes improvement in mechanical synchrony alongside better ventricular function and suppression of both ventricular and atrial ectopy.
What made this case unusual
LBBAP was associated not only with improved ventricular function but also with suppression of both premature ventricular contractions and supraventricular extrasystoles.
Diagnostic / clinical pearl
In this case of LBBB-induced cardiomyopathy, LBBAP was followed by improved ejection fraction and reduced ventricular and supraventricular ectopy.