GMC Anantnag carries out advanced pacemaker implant

Anantnag, Sep 03: The GMC Anantnag has conducted an advanced pacemaker implant.

A team of cardiologists led by Dr Syed Maqbool besides Dr Shamim Iqbal and Dr Showkat Shah did two left bundle pacing on C- arm and without EP backup successfully.

Left bundle pacing is a new concept of pacing where the pacemaker lead is fixed into the conduction system of the heart and notably the left bundle branch.

In routine pacemaker implantation, the lead is generally implanted at cardiac apex, which leads to pacemaker induced cardiomyopathy in around 20% of patients, causing heart failure in them. Putting a lead in the left bundle almost reduces this complication to zero.

This procedure assumes particular importance in another procedure called CRTP implantation done for dilated cardiomyopathy. In CRTP implantation, done to improve the pumping of heart in these patients, three leads are implanted each in RA and RV and coronary sinus.

This procedure has a 25% nonresponder rate, wherein the patient's heart pumping does not improve despite a successful procedure. Putting the third lead in the left bundle area not only increases the responder rate to more than 95% , but the response is faster.

Left bundle pacing is a relatively new procedure that is done in many centers, including SKIMS and SMHS, but inside a Cathlab and with EP backup.