Successful termination of ventricular tachycardia by intrinsic antitachycardia pacing delivered from a left bundle branch area pacing lead: a case report

Clicks: 1
ID: 322996
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #207 of 247 articles by views in European Heart Journal - Case Reports

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 247 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Intrinsic antitachycardia pacing (iATP) is an advanced algorithm designed to optimize pacing sequences for ventricular tachycardia (VT) termination. Although left bundle branch area pacing (LBBAP) has emerged as a physiological pacing strategy and is increasingly incorporated into cardiac resynchronization therapy, its role as a delivery site for iATP remains unclear. Case summary We report a 57-year-old man with advanced heart failure who underwent implantation of left bundle branch area pacing–optimized cardiac resynchronization therapy with defibrillator (LOT-CRTD) for secondary prevention. During follow-up, multiple episodes of sustained VT with different morphologies were consistently and successfully terminated by iATP delivered exclusively from the LBBAP lead, without the need for conventional ATP or shock therapy. Discussion This case suggests that conduction system pacing via the left bundle branch area may provide a novel and effective substrate for antitachycardia pacing, potentially enabling more rapid engagement of reentrant circuits through the His–Purkinje system. Further studies are warranted to establish the efficacy of iATP delivered from conduction system pacing leads.
Reference Key
openalex_W7171826308 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Noriaki Moriyama, Yoichi Sugiyama, Yuki Hiruma, Kunihiko Shimizu, Shigeru Saito
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag577
URL
https://doi.org/10.1093/ehjcr/ytag577
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.