First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Jagiellonian University in Krakow, Ul. Jakubowskiego 2, Kraków 30-669, Poland.
Card Electrophysiol Clin. 2022 Jun;14(2):151-163. doi: 10.1016/j.ccep.2021.12.009. Epub 2022 May 25.
His bundle (HB) pacing is an increasingly popular method of physiologic ventricular pacing. The electrocardiographic hallmark of physiologic pacing is the preservation or restoration of physiologic activation times in the left ventricle-a principle of paramount diagnostic importance. The current review focuses on the differentiation between 3 possible capture types when the pacing lead is placed in the HB region: selective HB capture when only HB is activated, nonselective HB capture when there is simultaneous activation of the adjacent right ventricular septal (RVS) myocardium, and selective RVS capture when HB is not activated at all but only septal myocardium.
希氏束（HB）起搏是一种越来越受欢迎的生理性心室起搏方法。生理性起搏的心电图标志是左心室生理性激活时间的保留或恢复——这是一个具有至关重要诊断意义的原则。本综述重点讨论了当起搏导线放置在 HB 区域时 3 种可能的夺获类型之间的区别：选择性 HB 夺获，仅 HB 被激活；非选择性 HB 夺获，同时激活相邻的右心室间隔（RVS）心肌；选择性 RVS 夺获，HB 根本未被激活，只有间隔心肌被激活。
