Key result
Proper device programming for conduction system pacing, including His bundle and left bundle branch area pacing, is essential to ensure patient safety and obtain the greatest benefit from pacing therapy.
Why the study?
Effective conduction system pacing requires proper device programming, but current implantable impulse generators are not specifically designed for it and programming issues can arise depending on device configuration.
Proper device programming is critical for the safety and efficacy of conduction system pacing, especially since current pulse generators lack dedicated algorithms for this therapy.
Programming vigilance may aid conduction system pacing safety; leaves open dedicated algorithms and prospective validation.
Conduction system pacing (CSP) comprises His bundle pacing and left bundle branch area pacing and is rapidly gaining widespread adoption. Effective CSP not only depends on successful system implantation but also on proper device programming. Current implantable impulse generators are not specifically designed for CSP. Either single chamber, dual chamber or CRT devices can be used for CSP depending on the underlying heart rhythm (sinus rhythm or permanent atrial arrhythmia) and the aim of pacing. Different programming issues may arise depending on the device configuration. This article aims to provide an update on practical considerations for His bundle and left bundle branch area pacing programming and follow-up.
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Bakelants et al. (2021) conducted a review in Conduction system pacing (His bundle pacing and left bundle branch area pacing). Conduction system pacing programming was evaluated. Proper device programming for conduction system pacing, including His bundle and left bundle branch area pacing, is essential to ensure patient safety and obtain the greatest benefit from pacing therapy.
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