Key result
LBBAP proves feasible in adapted operating rooms outside conventional EP labs in low-resource settings.
Why the study?
LBBAP is conventionally performed in electrophysiology laboratories with specialized equipment, but such facilities are not universally available, particularly in low-resource settings.
Observational
Describes the technical experience and feasibility of performing left bundle branch area pacing in an adapted operating room in a low-resource setting.
Left bundle branch area pacing (LBBAP) provides more synchronous ventricular activation than right ventricular pacing and may reduce the risk of pacing-induced cardiomyopathy. It is increasingly recognized as a physiological pacing modality with proven clinical benefits. Conven-tionally, LBBAP is performed in electrophysiology laboratories equipped with fixed fluoroscopy, polygraph systems, and real-time 12-lead electrocardiography (ECG). However, such facilities are not universally available, particularly in low-resource settings. At Hospital Dr.
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Acosta et al. (2026) conducted an observational in Need for physiological pacing. Left bundle branch area pacing (LBBAP) was evaluated. Left bundle branch area pacing (LBBAP) was performed in an adapted operating room in a low-resource setting in Venezuela, highlighting its feasibility outside conventional electrophysiology labs.
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