Key result
His bundle pacing has emerged as a feasible alternative for patients requiring chronic ventricular pacing, though long-term outcomes in large populations with low ejection fraction remain lacking.
Why the study?
Nearly two decades after His bundle pacing was described and following the first randomized pilot study, a review of its clinical impact was needed.
Does His bundle pacing improve outcomes in patients requiring chronic ventricular pacing?
Does His bundle pacing improve outcomes in patients requiring chronic ventricular pacing?
His bundle pacing is a feasible alternative for cardiac resynchronization, though large-scale long-term data in patients with low ejection fraction are still needed.
May warrant consideration in select patients needing ventricular pacing; leaves open long-term outcomes in large low-EF cohorts.
PURPOSE OF REVIEW: It has been nearly 2 decades since His bundle pacing (HBP) was described and with very first randomized pilot study published, reviewing its impact on clinical practice is inevitable. RECENT FINDINGS: Inclusion of HBP in the guidelines, along with long-term outcomes, outcomes comparing selective and non selective HBP and investigator initiated randomized pilot comparing with cardiac resynchronization therapy, HBP has established itself as a feasible pacing alternative. SUMMARY: HBP is an addition to the current armada of resynchronization techniques. HBP is an emerging area of interest, and is particularly relevant in patients, who require chronic ventricular pacing, but the long-term outcomes of this approach in large patient populations with low ejection fraction are still lacking. With several ongoing studies, in the near future we will have good-quality evidence to support native conduction system pacing as a viable alternative to improve meaningful outcomes.
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Ladia et al. (2019) conducted a review in Patients requiring chronic ventricular pacing. His bundle pacing was evaluated. His bundle pacing has emerged as a feasible alternative for patients requiring chronic ventricular pacing, though long-term outcomes in large populations with low ejection fraction remain lacking.
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