Published Papers

Permanent His bundle pacing using a Biotronik stylet driven lead: feasibility and early outcomes from a single center

His bundle pacing (HBP) has been shown to be a good alternative to conventional cardiac resynchronisation therapy (CRT) and may theoretically provide an additional benefit where CRT has a response deficit of at least 30%. HBP requires mapping and identification of the His bundle, and to this purpose the lead delivery is challenging. This first-reported case series from Africa shares an early experience with different pacing indications (complete heart block and pre-existing right ventricular pacing; heart failure with left bundle branch block) for using a standard 5.6F, Solia S 60, IS-1, ProMRI bipolar pacing lead and an 8.7F Selectra 3D introducer guide, 32–39-cm working length with 40/55/65-mm proximal radii (Biotronik).

Cardiac Pacing Training in Africa: Endorsed by the Africa Heart Rhythm Association (AFHRA): JACC International:

Studies show that pacing in Africa is insufficient with expertise only found in a few cities. This paper reflects severe inaccessibility to life-saving treatments, which is an urgent concern.

This paper reviews historical and current approaches to pacing training in Africa.

Standards for a high-quality pacing training service in a resource-constrained continent are reviewed with recommendations.

BIO397-CRM Patient Booklet-Dr. Vezi

I have just released a Cardiac Rhythm Management booklet in collaboration with @biotronik_uae . This booklet focuses on Arrythmias and Cardiac devices and to allow for patients to get in-depth knowledge on the new HIS procedures. This is a milestone and a first for Africa in the field of Medicine. I would like to also extend my gratitude to Biotronik for the incredible work, Thank You. Please feel free to get a copy on your next consultation visit.

Another way to get to the ‘DIFFICULT’ CS

Book an appointment with Dr Vezi