How to Choose the Type Conduction System Pacing-How to Choose the Type Conduction System Pacing

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Video Summary

Conduction system pacing is a specialized technique used to restore normal activation of the heart's ventricles in patients with heart conditions. It can be done through various methods such as his bundle pacing, left bundle branch pacing, or biventricular pacing. The goal is to improve heart function and outcomes in patients with heart failure or other cardiac issues. Studies have shown promising results with conduction system pacing, including improvements in ejection fraction and quality of life. It is particularly hopeful for patients with right bundle branch block who do not respond well to conventional therapy. However, conduction system pacing is still a developing field, with ongoing trials to further investigate its efficacy and benefits. Left bundle branch area pacing (LBBAP) and his bundle pacing (HBP) are potential options when traditional pacing methods are not effective. They have shown positive outcomes in patients with preserved left ventricular ejection fraction and bradycardia. The choice between LBBAP and HBP is still a topic of debate, as both have shown similar positive results. The decision to use conduction system pacing should be based on each patient's individual condition and response to other pacing options. It is also important to consider potential complications and challenges, such as lead extraction and positioning.

Keywords

Conduction system pacing

Heart conditions

His bundle pacing

Left bundle branch pacing

Biventricular pacing

Heart function

Heart failure

Ejection fraction

Quality of life

Right bundle branch block

Left bundle branch area pacing

Bradycardia

Lead extraction