Key result
His-bundle pacing emerges as the leading physiological alternative to RVP by avoiding ventricular dyssynchrony.
Why the study?
Despite technological advances and known deleterious effects of long-term RV apical pacing, the optimal ventricular pacing site to mimic normal ventricular physiology and hemodynamic response remains elusive.
What are the current physiological pacing options to avoid ventricular dyssynchrony in patients requiring cardiac pacing?
What are the current physiological pacing options to avoid ventricular dyssynchrony in patients requiring cardiac pacing?
His-bundle pacing is highlighted as a leading physiological pacing strategy to prevent the deleterious effects of traditional RV apical pacing.
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Supports His-bundle pacing to avoid dyssynchrony in bradycardia; leaves open randomized evidence for long-term outcomes.
Vijayaraman et al. (2017) conducted a review in Bradycardia due to sinus node dysfunction or atrioventricular block. His-bundle pacing was evaluated. Permanent His-bundle pacing has emerged as the leading candidate for physiological pacing by providing nearly normal electrical activation of both ventricles and avoiding ventricular dyssynchrony.
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