Left Bundle Branch Area Pacing
After nearly 3 years with permanent afib and the clinicians decision not to atempt to restore sinus rhythm due to age (81) and heart damage due to MI in 2006 I have not been happy having to live with much reduced exertion tolerance and no exercise tolerance. I have been a life long runner and other sports, plus 25 years Army service where exercise was mandatory not optional, so inactivity does not sit well with me. In April it was decided to upgrade my dual chamber pm to biventricular but after 3 hours the clinician could not place the 3rd lead. In June another attempt was made but this time with Left Bundle Branch Area Pacing and after 3 hours this was successful. No immediate results but after 3 weeks my energy levels increased substantially, breathing and moving (walking speed) was much easier and sustained endurance time increased. Happy bunny with that.. My Cardiologist says that more QOL can be obtained via AV Node ablation but i need a bit of time to get my head around that. In the meantime I'm comfortable with the gains made by LBBA pacing, but I am still on high dose toxic medication.