October 25, 2021Journal of College of Physicians And Surgeons PakistanOpen Access

The Implantation of Left Bundle Branch Area Pacing in Patients with and without Bundle Branch Block

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Why the study?

The study was conducted to investigate the clinical safety and ECG characteristics in patients receiving left bundle branch area pacing.

Does left bundle branch area pacing improve ECG characteristics and pacing parameters compared to right ventricular septum pacing in patients with bradycardia?

Population

Patients admitted due to bradycardia scheduled for LBBAP

Comparison

LBBAP vs RVSP

Design

Retrospective study

Follow-up

9.2 ± 3.7 months

Authors

TCTianping ChenAnhui Medical University XSXiaojun ShiBeijing Institute of Technology DLDong-Yu LuFirst Affiliated Hospital of Bengbu Medical College

Discussion

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Implication

LBBAP appears safe and feasible in bradycardia patients; leaves open need for randomized trials to confirm long-term efficacy.

Structured PICO

Does left bundle branch area pacing improve ECG characteristics and pacing parameters compared to right ventricular septum pacing in patients with bradycardia?

Population

Patients scheduled for Left Bundle Branch Area Pacing (LBBAP), admitted due to bradycardia.

Intervention

Left bundle branch area pacing (LBBAP) using Medtronic 3830 pacing lead screwed towards the left ventricular side of the interventricular septum.

Comparator

Right ventricular septum pacing (RVSP) with the pacing lead placed at the right ventricular side of the interventricular septum.

Outcome

Clinical safety, pacing parameters (pacing threshold, pacing impedance and sensing amplitude), and ECG characteristics (QRS morphology, paced QRS duration and stimulus to peak left ventricular activation time [Sti-LVAT]).surrogate

LBBAP is a safe and feasible physiological pacing strategy that significantly reduces QRS duration and Sti-LVAT compared to RVSP, particularly in patients with intrinsic LBBB.

Cite This Study

Chen et al. (2021) studied this question.

synapsesocial.com/papers/6a71ef8cce524a4339c5358f https://doi.org/10.29271/jcpsp.2021.11.1268

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The Implantation of Left Bundle Branch Area Pacing in Patients with and without Bundle Branch Block

Discussion

Member takes

Implication

Structured PICO

Cite This Study

The Implantation of Left Bundle Branch Area Pacing in Patients with and without Bundle Branch Block

Discussion

Member takes

Implication

Structured PICO

Cite This Study

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