Cardiac Resynchronisation with Conduction System Pacing
To date, biventricular pacing (BiVP) has been the standard pacing modality for cardiac resynchronisation therapy. However, it is non-physiological, with the activation spreading between the left ventricular epicardium and right ventricular endocardium. Up to one-third of patients with heart failure...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2023-08-01
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| Series: | Arrhythmia & Electrophysiology Review |
| Online Access: | https://www.aerjournal.com/articleindex/aer.2023.03 |
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| author | Fatima M Ezzeddine Isaac G Leon Yong-Mei Cha |
| author_facet | Fatima M Ezzeddine Isaac G Leon Yong-Mei Cha |
| author_sort | Fatima M Ezzeddine |
| collection | DOAJ |
| description | To date, biventricular pacing (BiVP) has been the standard pacing modality for cardiac resynchronisation therapy. However, it is non-physiological, with the activation spreading between the left ventricular epicardium and right ventricular endocardium. Up to one-third of patients with heart failure who are eligible for cardiac resynchronisation therapy do not derive benefit from BiVP. Conduction system pacing (CSP), which includes His bundle pacing and left bundle branch area pacing, has emerged as an alternative to BiVP for cardiac resynchronisation. There is mounting evidence supporting the benefits of CSP in achieving synchronous ventricular activation and repolarisation. The aim of this review is to summarise the current options and outcomes of CSP when used for cardiac resynchronisation in patients with heart failure. |
| format | Article |
| id | doaj-art-3434d36d6fd747d996576940b2ede0f7 |
| institution | Kabale University |
| issn | 2050-3369 2050-3377 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Arrhythmia & Electrophysiology Review |
| spelling | doaj-art-3434d36d6fd747d996576940b2ede0f72024-12-14T16:04:37ZengRadcliffe Medical MediaArrhythmia & Electrophysiology Review2050-33692050-33772023-08-011210.15420/aer.2023.03Cardiac Resynchronisation with Conduction System PacingFatima M Ezzeddine0Isaac G Leon1Yong-Mei Cha2Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, USDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USTo date, biventricular pacing (BiVP) has been the standard pacing modality for cardiac resynchronisation therapy. However, it is non-physiological, with the activation spreading between the left ventricular epicardium and right ventricular endocardium. Up to one-third of patients with heart failure who are eligible for cardiac resynchronisation therapy do not derive benefit from BiVP. Conduction system pacing (CSP), which includes His bundle pacing and left bundle branch area pacing, has emerged as an alternative to BiVP for cardiac resynchronisation. There is mounting evidence supporting the benefits of CSP in achieving synchronous ventricular activation and repolarisation. The aim of this review is to summarise the current options and outcomes of CSP when used for cardiac resynchronisation in patients with heart failure.https://www.aerjournal.com/articleindex/aer.2023.03 |
| spellingShingle | Fatima M Ezzeddine Isaac G Leon Yong-Mei Cha Cardiac Resynchronisation with Conduction System Pacing Arrhythmia & Electrophysiology Review |
| title | Cardiac Resynchronisation with Conduction System Pacing |
| title_full | Cardiac Resynchronisation with Conduction System Pacing |
| title_fullStr | Cardiac Resynchronisation with Conduction System Pacing |
| title_full_unstemmed | Cardiac Resynchronisation with Conduction System Pacing |
| title_short | Cardiac Resynchronisation with Conduction System Pacing |
| title_sort | cardiac resynchronisation with conduction system pacing |
| url | https://www.aerjournal.com/articleindex/aer.2023.03 |
| work_keys_str_mv | AT fatimamezzeddine cardiacresynchronisationwithconductionsystempacing AT isaacgleon cardiacresynchronisationwithconductionsystempacing AT yongmeicha cardiacresynchronisationwithconductionsystempacing |