Key result
Direct His bundle and paraHisian pacing provide physiological alternatives to right ventricular apical pacing by preserving near-normal electrical activation of the left ventricle.
ParaHisian pacing is emerging as a preferable alternative to direct His bundle pacing due to easier implementation, superior electrical parameters, and reduced need for a backup ventricular lead.
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Supports physiological pacing alternatives to RV apical lead; leaves open optimal technique selection pending prospective trials.
Zanon et al. (2012) conducted a review in Bradycardia and atrioventricular block requiring cardiac pacing. Direct His bundle pacing and paraHisian pacing vs. Right ventricular apical pacing was evaluated. Direct His bundle and paraHisian pacing provide physiological alternatives to right ventricular apical pacing by preserving near-normal electrical activation of the left ventricle.
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