Key result
His bundle pacing offers promising physiological activation that may reshape HF and conduction disorder management.
Why the study?
His bundle pacing implements physiological impulse propagation and can serve as an analogue of right ventricular and biventricular pacing, warranting an updated review of its clinical anatomy, techniques, and indications.
His bundle pacing is a promising physiological pacing technique that may fundamentally change the management of patients with heart failure and conduction disorders.
His bundle pacing merits cautious exploration in select HF cases; leaves open need for RCTs to confirm outcomes versus standard pacing.
His bundle pacing (HBP) implements physiological impulse propagation along the cardiac conduction system and can serve as an analogue of both right ventricular and biventricular pacing. This review highlights clinical anatomy issues related to HBP; the technique of lead implantation in the His position is considered. We also describe the electrophysiological basis of HBP, possibilities of lead extraction, indications for implantation, and prospects for further development of the technique. HBP is a promising direction in cardiology, which in the future may fundamentally change the algorithms for managing patients with heart failure and conduction disorders.
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Prikhodko et al. (2020) conducted a review in Heart failure and conduction disorders. His bundle pacing was evaluated. His bundle pacing is a promising technique that implements physiological impulse propagation and may fundamentally change management algorithms for patients with heart failure and conduction disorders.
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