Novel bradycardia pacing strategies
Why the study?
The adverse effects of ventricular dyssynchrony induced by RV pacing led to alternative pacing strategies, such as biventricular, HBP, LVSP, and LBBP.
Comparison
Alternative pacing strategies (biventricular, HBP, LVSP, LBBP) vs RV pacing
Authors
Discussion
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Implication
LBBAP may offer a practical alternative to HBP in select patients; leaves open the need for randomized trials to confirm outcomes.
Structured PICO
I
Intervention
Alternative pacing strategies including biventricular, His bundle pacing (HBP), LV septal pacing (LVSP), and left bundle branch pacing (LBBP)
C
Comparator
Right ventricular (RV) pacing
Left bundle branch area pacing (LBBAP) emerges as a feasible and safe physiological pacing alternative that may overcome the technical challenges and complication rates of His bundle pacing.
Cite This Study
Heckman et al. (2020) studied this question.