Background: This case report presents a patient diagnosed with sick sinus syndrome who was successfully treated with permanent His-bundle pacing (PHBP).
Case presentation: A 36-year-old man was transferred to our hospital due to recurrent syncope. He was diagnosed with sick sinus syndrome based on the 24-hour Holter and a history of syncope. He was admitted to hospital and successfully treated with PHBP. The postoperative examination showed that the pacing rhythm, pacemaker pacing and perception function were normal. He was discharged without any complications after a successful pacemaker implantation.
Conclusions: We described a case in which PHBP may become an optimal approach to the management of patients with sick sinus syndrome. Right ventricular pacing has been attempted with inconsistent efficacy outcomes. HBP provides a promising alternative pacing option that might provide symptom resolution to patients with sick sinus syndrome.
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Posted 17 Mar, 2021
Received 29 Mar, 2021
On 14 Mar, 2021
Received 13 Mar, 2021
On 13 Mar, 2021
Invitations sent on 11 Mar, 2021
On 10 Mar, 2021
On 10 Mar, 2021
On 10 Mar, 2021
On 02 Mar, 2021
Posted 17 Mar, 2021
Received 29 Mar, 2021
On 14 Mar, 2021
Received 13 Mar, 2021
On 13 Mar, 2021
Invitations sent on 11 Mar, 2021
On 10 Mar, 2021
On 10 Mar, 2021
On 10 Mar, 2021
On 02 Mar, 2021
Background: This case report presents a patient diagnosed with sick sinus syndrome who was successfully treated with permanent His-bundle pacing (PHBP).
Case presentation: A 36-year-old man was transferred to our hospital due to recurrent syncope. He was diagnosed with sick sinus syndrome based on the 24-hour Holter and a history of syncope. He was admitted to hospital and successfully treated with PHBP. The postoperative examination showed that the pacing rhythm, pacemaker pacing and perception function were normal. He was discharged without any complications after a successful pacemaker implantation.
Conclusions: We described a case in which PHBP may become an optimal approach to the management of patients with sick sinus syndrome. Right ventricular pacing has been attempted with inconsistent efficacy outcomes. HBP provides a promising alternative pacing option that might provide symptom resolution to patients with sick sinus syndrome.
Figure 1
Figure 2
Figure 3
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