His-bundle pacing as an alternative to CRT in a patient with left bundle branch block, left ventricular dysfunction, and TAVI-induced complete AV block

Our clinical case supports the effectiveness of distal His-Bundle pacing in obtaining ventricular resynchronization in patients with LBBB and left ventricular dysfunction, particularly in the context of post-TAVI conduction disturbances.

Automatic capture management may cause unnecessary battery depletion in selective his-bundle pacing

A routine change in the automatic capture management algorithm from "adaptive" to "off or monitor" is required to conserve device longevity in a permanent pacemaker with His-bundle pacing.

Left ventricular pacing induced polymorphic ventricular tachycardia via the adaptive left ventricle pacing algorithm

Providers should be aware of the possibility of cardiac resynchronization therapy-related proarrhythmia which could be life-threatening. His-bundle pacing may serve as an alternative, more physiological, option in the management as it preserves the normal sequence of depolarization from the septum to the lateral wall, and from endocardium to epicardium.