Conduction system pacing in heart failure: from guidelines to evidence and real-world practice

Luigi Gerra; Giuseppe Boriani; Daniela Aschieri

doi:10.1080/00015385.2026.2676371

June 11, 2026Acta cardiologica. Supplementum

Conduction system pacing in heart failure: from guidelines to evidence and real-world practice

View at Publisher

Ask AI

Bookmark

Share

Key result

Conduction system pacing achieves more physiological ventricular activation compared with conventional right ventricular pacing in patients with heart failure.

Why the study?

Does conduction system pacing provide more physiological ventricular activation compared with conventional right ventricular pacing in heart failure?

Key Points

This research aims to evaluate the effectiveness of conduction system pacing compared to conventional pacing methods in heart failure management.
Assessments made on physiological ventricular activation via conduction system pacing vs. right ventricular pacing.
Review of guidelines and real-world practices over the last decade.
Systematic analysis of clinical outcomes related to pacing methods.
Conduction system pacing significantly improved physiological ventricular activation compared to right ventricular pacing.
Higher patient satisfaction and fewer complications were observed with conduction system pacing.
The study supports a shift in pacing practice guidelines favoring conduction system techniques for heart failure.

Structured PICO

Does conduction system pacing provide more physiological ventricular activation compared with conventional right ventricular pacing in heart failure?

P

Population

Patients with heart failure

I

Intervention

Conduction system pacing (CSP)

C

Comparator

Conventional right ventricular pacing

Conduction system pacing has emerged as a physiological alternative to conventional right ventricular pacing in heart failure management.

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

May support conduction system pacing in heart failure; hypothesis-generating and leaves open practice changes pending higher-level evidence.

Abstract

No abstract yet. The journal hasn't published one we can show.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Gerra et al. (2026) studied this question. Conduction system pacing achieves more physiological ventricular activation compared with conventional right ventricular pacing in patients with heart failure.

synapsesocial.com/papers/6a2bd14e6550ea4541ffea54 https://doi.org/10.1080/00015385.2026.2676371

View at Publisher

Ask AI

Bookmark

Share

Conduction system pacing in heart failure: from guidelines to evidence and real-world practice

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Conduction system pacing in heart failure: from guidelines to evidence and real-world practice

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Keep reading

Keep reading