Special Technology Sessions-6159-Cardiac Conduction System Pacing

Video Transcription

Video Summary

Cardiac conduction system pacing, specifically His-Bundle Pacing and Left-Bundle Branch area pacing, is an alternative to traditional forms of pacing, such as right ventricular pacing or biventricular pacing. His-Bundle Pacing involves placing a lead in the His-Bundle region to restore normal conduction and improve QRS morphology. Left-Bundle Branch area pacing involves placing a lead in the left bundle branch area to achieve left ventricular synchrony. Both methods have shown promising results in improving patient outcomes, such as reducing heart failure hospitalizations and improving left ventricular ejection fraction. Conduction system pacing is particularly effective in patients with conduction system disease, atrioventricular block, or bundle branch block. It can also be considered in patients who have previously undergone right ventricular pacing and developed pacing-induced cardiomyopathy. Although more research is needed, particularly through randomized controlled trials, conduction system pacing offers a potential alternative to traditional pacing methods and may provide superior results in certain patient populations.

Keywords

Cardiac conduction system pacing

His-Bundle Pacing

Left-Bundle Branch area pacing

QRS morphology

heart failure hospitalizations

left ventricular ejection fraction

conduction system disease

bundle branch block

pacing-induced cardiomyopathy