Experts debate whether conventional biventricular pacing or conduction system pacing should be preferred for atrioventricular block in patients with reduced ejection fraction and narrow QRS.
Should biventricular pacing or conduction system pacing be used to treat patients with atrioventricular block, reduced ejection fraction, and narrow QRS requiring ventricular pacing?
This article presents an expert debate on whether biventricular pacing or conduction system pacing is the preferred modality for patients with AV block, reduced EF, and narrow QRS.
It is well established that right ventricular pacing is detrimental in patients with reduced cardiac function who require ventricular pacing (VP), and alternatives nowadays are comprised of biventricular pacing (BiVP) and conduction system pacing (CSP). The latter modality is of particular interest in patients with a narrow baseline QRS as it completely avoids, or minimizes, ventricular desynchronization associated with VP. In this article, experts debate whether BiVP or CSP should be used to treat these patients.
Glikson et al. (Thu,) conducted a editorial in Atrioventricular block with reduced ejection fraction and narrow QRS. Conventional biventricular pacing vs. Conduction system pacing was evaluated. Experts debate whether conventional biventricular pacing or conduction system pacing should be preferred for atrioventricular block in patients with reduced ejection fraction and narrow QRS.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: