Hiss Lead Pacing

I'd appreciate a technical discussion with someone informed/experienced with Hiss Bundle Pacing.  I would be really interested in hearing from anyone who has had a Hiss bundle lead installed.


4 Comments

Responded via PM

by ar_vin - 2019-05-07 13:30:56

I'm happy to share my experience - sent you a PM.

 

HIS Bundle Pacing

by Swangirl - 2019-05-08 23:59:45

There's a website with an animation that shows the difference between when the lead is placed in the His Bundle and the old style of lead placement.  Google His Bundle Pacing.  The old style of lead placement can cause problems down the road especially Pacemaker Syndrome a type of heart failure.  When I had my new dual chamber St. Jude PM implanted in April 2019 my cardiologist explained that the lead was placed in the His Bundle.  This information has been around for almost ten years but some surgeons are not using it.  Here again it's incumbant on the patient to bring things to the attention of your cardiologist to make sure you are getting the best result. 

I used this site extensively before my PM surgery to get educated about my heart block, what kind of features I needed in a PM to keep up my activities and brought this to the attention of my doctor.  My fear was that as a 77 year old woman I would get a basic model that would relegate me to the rocking chair when I had a robust physical activity schedule.  

Trusting the doctor is a very dated attitude.  We must be our own advocate and get the best medical care has to offer.  The research is clear about His Bundle Pacing.   

Here's a link

by Swangirl - 2019-05-09 01:12:53

https://www.youtube.com/watch?v=_2A2prtlWkM

HIS Bundle Pacing

by Steve Gregorich - 2019-05-09 10:24:01

Thanks for the comments, Swangirl.  I had already seen the video you recommended and I have taken active steps to become informed.  Enrolled in an online course in "Clinical Interpretation of ECG Waves" and bought an ECG machine.  The course is very good and I can understand most of the things the doctors talk about -- I recommend it.  The ECG machine is impractical if you don't have someone to assist you who is also interested in learning.  Of course, I didn't get it to become an exspert, just to have enough experience so that I understood in general what doctors and others were talking about.

I am learning from you and others that once I get a pacemaker I should not expect the nuanced responsiveness in my heart rate that I am used to in natural pacing.

I would appreciate any advice you have based on your experiences.  I am also very active -- heavy labor is my primary exercise and I like to hike in the Sierras and occasionally visit the gym.  I am 77 and have Bradycardia.

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