Left bundle branch pacing versus right ventricular pacing for AV block, head to head. If OptimPacing favours LBBP, does conduction-system pacing become your default for every patient with AV block — and what about implant time and lead stability?
What happened
OptimPacing trial compares LBBP with RVP for atrioventricular block, with results pending.
Why the trial, key points, tables, limitations, PICO, abstract, media & sources
Expert reaction
AHA Scientific Sessions 2026
0 experts have reacted so far. We show the split once 3 have.
Expert labels are toward OptimPacing's result, from named public quotes (n=0). As of Oct 22, 2026.
Left bundle branch pacing versus right ventricular pacing for atrioventricular block: an international multi-center randomized controlled trial (OptimPacing)
Left bundle branch pacing versus right ventricular pacing for atrioventricular block: an international multi-center randomized controlled trial (OptimPacing). Session: LBS.04. Late-breaking trial at AHA Scientific Sessions 2026. Results pending.
Cai et al. (2026) studied this question. Left bundle branch pacing is being compared with right ventricular pacing for atrioventricular block in the OptimPacing randomized controlled trial, with results currently pending.