Key result
Physiological pacing with CSP or BiVP lowers PICM risk vs. RVP in AV block.
Why the study?
Do physiological pacing strategies like CSP and BiVP prevent pacing-induced cardiomyopathy compared to right ventricular pacing in patients with AV block?
Do physiological pacing strategies like CSP and BiVP prevent pacing-induced cardiomyopathy compared to right ventricular pacing in patients with AV block?
Physiological pacing strategies such as conduction system pacing and biventricular pacing can diminish the risk of pacing-induced cardiomyopathy in patients with AV block.
May guide pacing selection in AV block; leaves open need for RCTs to confirm benefit.
Implementing pacing strategies that encourage physiological ventricular activation, like CSP and BiVP, can greatly diminish the risk of PICM in patients with AV block. Implementing alternative pacing strategies necessitates careful patient selection and consideration of individual anatomical and clinical factors. A team-based approach should be utilized to identify the most suitable pacing method for each patient, with the goal of optimizing cardiac function and reducing the risk of PICM.
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Doğan et al. (2026) studied this question. Physiological pacing strategies like CSP and BiVP significantly reduce the risk of pacing-induced cardiomyopathy in patients with atrioventricular block.
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