Why the study?
His bundle pacing is limited by high pacing thresholds that can cause early battery depletion or lead revisions from late threshold increases.
Does deep septal, distal His bundle pacing achieve low and stable capture thresholds compared to traditional His bundle pacing?
Does deep septal, distal His bundle pacing achieve low and stable capture thresholds compared to traditional His bundle pacing?
Deep septal, distal His bundle pacing is proposed as a method to overcome the high pacing thresholds and subsequent battery depletion or lead revision risks associated with traditional His bundle pacing.
May warrant consideration in select cases with high thresholds; hypothesis-generating and requires prospective validation before practice change.
His bundle pacing (HBP) is widely accepted as the most physiological type of pacing. However, HBP is mainly limited by a high pacing threshold, resulting in early depletion of the battery or a risk for lead revisions from a late increase in threshold in some patients.
No takes yet. Share an insight, caveat, or question.
Iida et al. (2020) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: