Paradoxical Increase in Stimulus to Atrium Interval During Para‐Hisian Pacing

Nair, Krishna Kumar Mohanan; Thajudeen, Anees; Namboodiri, Narayanan; Chaithanya, Krishna; Abhilash, Sreevilasam Pushpangadhan; Valaparambil, Ajitkumar

doi:10.1111/jce.13176

Cited by 3 publications

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“…We read with interest the paper by Mohanan Nair et al 1 activation). However, several observations argue against the authors' hypothesis of PHC during the second beat as a mechanism.…”

Section: Para-hisian Pacing Maneuver: a Pitfall In The Pitfallmentioning

confidence: 97%

“…We read with interest the paper by Mohanan Nair et al . recently published in the Journal of Cardiovascular Electrophysiology .…”

mentioning

confidence: 98%

“…

We read with interest the paper by Mohanan Nair et al 1 recently published in the Journal of Cardiovascular Electrophysiology. In this EP Image, the authors present an interesting response to the para-Hisian pacing (PHP) as they observed relatively broader and narrower QRS morphologies with increased stimulus-atrium intervals and a change in the atrial activation sequence.

…”

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confidence: 99%

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Para‐Hisian pacing maneuver: A pitfall in the pitfall

Ali

Cappato

2017

Cardiovasc electrophysiol

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“…We read with interest the paper by Mohanan Nair et al 1 activation). However, several observations argue against the authors' hypothesis of PHC during the second beat as a mechanism.…”

Section: Para-hisian Pacing Maneuver: a Pitfall In The Pitfallmentioning

confidence: 97%

“…We read with interest the paper by Mohanan Nair et al . recently published in the Journal of Cardiovascular Electrophysiology .…”

mentioning

confidence: 98%

“…

…”

mentioning

confidence: 99%

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Para‐Hisian pacing maneuver: A pitfall in the pitfall

Ali

Cappato

2017

Cardiovasc electrophysiol

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“…A change in atrial activation as well as ventricular activation pattern was seen with pure His versus His and myocardial capture . With para‐Hisian pacing (beat 1), the activation in atria is through the right‐sided accessory pathway.…”

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confidence: 99%

Response to letter to editor titled “Para‐Hisian Pacing Maneuver: A Pitfall in the Pitfall”

Nair

Thajudeen

Namboodiri

et al. 2017

Cardiovasc electrophysiol

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Paradoxical Para-Hisian Pacing Response

EFE,

MEROVCI,

CALAPKULU

et al. 2023

J Innov Cardiac Rhythm Manage.

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Para-Hisian pacing (PHP) is among the most useful maneuvers in cardiac electrophysiology during sinus rhythm and identifies whether retrograde conduction is dependent on the atrioventricular (AV) node. In this maneuver, the retrograde activation time and pattern are compared during capture and loss of capture of the His bundle while pacing from a para-Hisian position. A common misconception about PHP is that it is useful only for septal accessory pathways (APs). However, even with left or right lateral pathways, as long as pacing from the para-Hisian region conducts to the atrium with the activation sequence being analyzed, it can be used to determine whether that activation is AV node–dependent or AP-dependent.

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Paradoxical Increase in Stimulus to Atrium Interval During Para‐Hisian Pacing

Cited by 3 publications

References 0 publications

Para‐Hisian pacing maneuver: A pitfall in the pitfall

Para‐Hisian pacing maneuver: A pitfall in the pitfall

Response to letter to editor titled “Para‐Hisian Pacing Maneuver: A Pitfall in the Pitfall”

Paradoxical Para-Hisian Pacing Response

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