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July 27, 2026European Heart JournalOpen Access

2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy

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Design

Clinical practice guidelines

Authors

Michele Brignole
Michele BrignoleElectrophysiology
Angelo Auricchio
Angelo AuricchioElectrophysiology
GBGonzalo Barón‐EsquiviasElectrophysiology

Discussion

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Member takes

Key expert perspectives

Captured external expert commentary on this paper, strongest first. Original sources are linked where available.

PEPerry ElliottCardiologist, The Heart Hospital, London

“One of the big innovations of these guidelines is the development of a logical decision tree displaying the different pacing modes according to different clinical situations. In effect these guidelines take the clinician by the hand and lead them through a series of three or four questions.”

The Heart Hospital, LondonNews Coverage
Michele BrignoleMichele BrignoleCardiologist, Ospedali del Tigullio, Italy

“By taking this user friendly approach we hope to get our messages out to the wider medical community, which ultimately should allow more patients to benefit from the latest evidence-based medicine.”

Ospedali del TigullioNews Coverage
CPClaas P. NaehleRadiologist, University of Bonn

“As welcome as including an overview on performing magnetic resonance imaging (MRI) in patients with pacemakers (PMs) and implantable cardioverter-defibrillators (ICDs) as well as suggestions on how to do it are, the just recently published guidelines are somewhat erroneous and require clarifications and minor, but important corrections.”

University of BonnEditorial

Overview

Guidelines advise but do not dictate care; leaves open how clinicians weigh them in individual cases.

Key Points

  • To provide healthcare professionals with evidence-based guidelines for cardiac pacing and resynchronization therapy.
  • Developed by the European Society of Cardiology after thorough evidence review.
  • Encourages consultation between health professionals and patients regarding individual circumstances.
  • Stresses the importance of verifying applicable rules for drugs and devices.
  • Guidelines offer structured recommendations but emphasize individual clinician judgement.
  • Encourage aligning patient care decisions with current evidence and regulations.
  • Highlight accountability of health professionals in patient treatment decisions.

PICO

P
Population
Cardiac pacing and cardiac resynchronization therapy
E
Exposure / Comparator
2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy

Provides the 2013 European Society of Cardiology recommendations for cardiac pacing and cardiac resynchronization therapy.

Cite This Study

Brignole et al. (2013) conducted a review in Cardiac pacing and cardiac resynchronization therapy. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy was evaluated. The 2013 ESC Guidelines provide evidence-based recommendations on cardiac pacing and cardiac resynchronization therapy to assist health professionals in clinical decision-making.

synapsesocial.com/papers/6a67cb44ec837c41da4ee757https://doi.org/10.1093/eurheartj/eht150

Topics

Cardiac device therapyHFrEF treatmentHeart transplantationCongenital heart disease adultsHeart failure
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