Conduction System Pacing for Cardiac Resynchronisation

Parikshit S Sharma, Pugazhendhi Vijayaraman, Parikshit S Sharma, Pugazhendhi Vijayaraman

Abstract

Conduction system pacing (CSP) is a technique of pacing that involves implantation of permanent pacing leads along different sites of the cardiac conduction system and includes His bundle pacing and left bundle branch pacing. There is an emerging role for CSP to achieve cardiac resynchronisation in patients with heart failure with reduced ejection fraction and inter-ventricular dyssynchrony. In this article, the authors review these strategies for resynchronisation and the available data on the use of CSP in overcoming dyssynchrony.

Keywords: Biventricular pacing; His bundle pacing; cardiac resynchronisation therapy; conduction system pacing; heart failure; left bundle branch block; left bundle branch pacing; right bundle branch block; ventricular dyssynchrony.

Conflict of interest statement

Disclosure: PSS has received honoraria from Medtronic and is a consultant for Abbott, Biotronik, Boston Scientific and Medtronic; PV has received honoraria and does research for Medtronic, and is a consultant for Abbott, Biotronik, Boston Scientific and Medtronic and has patented a His bundle pacing delivery tool.

Copyright © 2021, Radcliffe Cardiology.

Figures

Figure 1:. Sites for Conduction System Pacing…
Figure 1:. Sites for Conduction System Pacing and Cardiac Resynchronisation Therapy
Figure 2:. His Bundle Pacing for Cardiac…
Figure 2:. His Bundle Pacing for Cardiac Resynchronisation Therapy in Left Bundle Branch Block
Figure 3:. Left Bundle Branch Pacing for…
Figure 3:. Left Bundle Branch Pacing for Cardiac Resynchronisation Therapy
Figure 4:. Schematic for Cardiac Resynchronisation Therapy
Figure 4:. Schematic for Cardiac Resynchronisation Therapy

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