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      Left Bundle Branch Area Pacing in a Giant Atrium With Atrial Standstill: A Case Report and Literature Review

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          Abstract

          Atrial standstill (AS) is a rare condition defined by the lack of atrial electrical and mechanical activities. It is usually clinically manifested as symptomatic bradycardia, which requires permanent pacemaker (PPM) implantation. Traditional right ventricular apical pacing causes electrical and mechanical dyssynchrony resulting in left ventricular dysfunction, heart failure, and arrhythmias. As a novel physiological pacing strategy, left bundle branch area pacing (LBBaP) has demonstrated effectiveness and safety in recent years, but its application in exceptional conditions is rarely reported. We report the case of a 47-year-old female, who was diagnosed with AS complicated with a giant atrium, and successfully received a single-chamber PPM with LBBaP.

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          Most cited references41

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          A Novel Pacing Strategy With Low and Stable Output: Pacing the Left Bundle Branch Immediately Beyond the Conduction Block

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            A beginner's guide to permanent left bundle branch pacing

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              Prospective evaluation of feasibility, electrophysiologic and echocardiographic characteristics of left bundle branch area pacing

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                Author and article information

                Contributors
                Journal
                Front Cardiovasc Med
                Front Cardiovasc Med
                Front. Cardiovasc. Med.
                Frontiers in Cardiovascular Medicine
                Frontiers Media S.A.
                2297-055X
                29 March 2022
                2022
                : 9
                : 836964
                Affiliations
                Department of Cardiology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital , Quzhou, China
                Author notes

                Edited by: Julia W. Erath, University Hospital Frankfurt, Germany

                Reviewed by: Victoria Johnson, Uniklinikum Giessen und Marburg, Germany; Harilaos Bogossian, Evangelisches Krankenhaus Hagen-Haspe, Germany; Binni Cai, Xiamen University, China; Xueying Chen, Fudan University, China

                *Correspondence: Qizhi Jin, jqz1147@ 123456126.com

                This article was submitted to Cardiac Rhythmology, a section of the journal Frontiers in Cardiovascular Medicine

                Article
                10.3389/fcvm.2022.836964
                9001966
                35425822
                869d4528-590b-479b-a809-fd95476da0e2
                Copyright © 2022 Zheng, Yang, Zheng, Chen and Jin.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 16 December 2021
                : 28 February 2022
                Page count
                Figures: 5, Tables: 0, Equations: 0, References: 41, Pages: 7, Words: 3996
                Categories
                Cardiovascular Medicine
                Case Report

                left bundle branch area pacing,physiological pacing,atrial standstill,giant atrium,permanent pacemaker

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