2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure

• Published in: Journal of arrhythmia 2023-10, Vol.39 (5), p.681-756
• Main Authors: Chung, Mina K, Patton, Kristen K, Lau, Chu-Pak, Dal Forno, Alexander R J, Al-Khatib, Sana M, Arora, Vanita, Birgersdotter-Green, Ulrika Maria, Cha, Yong-Mei, Chung, Eugene H, Cronin, Edmond M, Curtis, Anne B, Cygankiewicz, Iwona, Dandamudi, Gopi, Dubin, Anne M, Ensch, Douglas P, Glotzer, Taya V, Gold, Michael R, Goldberger, Zachary D, Gopinathannair, Rakesh, Gorodeski, Eiran Z, Gutierrez, Alejandra, Guzman, Juan C, Huang, Weijian, Imrey, Peter B, Indik, Julia H, Karim, Saima, Karpawich, Peter P, Khaykin, Yaariv, Kiehl, Erich L, Kron, Jordana, Kutyifa, Valentina, Link, Mark S, Marine, Joseph E, Mullens, Wilfried, Park, Seung-Jung, Parkash, Ratika, Patete, Manuel F, Pathak, Rajeev Kumar, Perona, Carlos A, Rickard, John, Schoenfeld, Mark H, Seow, Swee-Chong, Shen, Win-Kuang, Shoda, Morio, Singh, Jagmeet P, Slotwiner, David J, Sridhar, Arun Raghav M, Srivatsa, Uma N, Stecker, Eric C, Tanawuttiwat, Tanyanan, Tang, W H Wilson, Tapias, Carlos Andres, Tracy, Cynthia M, Upadhyay, Gaurav A, Varma, Niraj, Vernooy, Kevin, Vijayaraman, Pugazhendhi, Worsnick, Sarah Ann, Zareba, Wojciech, Zeitler, Emily P, Lopez-Cabanillas, Nestor, Ellenbogen, Kenneth A, Hua, Wei, Ikeda, Takanori, Mackall, Judith A, Mason, Pamela K, McLeod, Christopher J, Mela, Theofanie, Moore, Jeremy P, Racenet, Laurel Kay
• Format: Article
• Language: English
• Subjects: Cardiac pacing; cardiac resynchronization therapy; Cardiomyopathy; Cardiovascular disease; Care and treatment; Clinical medicine; conduction system pacing; Congenital diseases; Decision making; Ejection fraction; Epidemiology; guideline; Guidelines; Heart failure; his bundle pacing; Hospitalization; left bundle branch area pacing; Medical prognosis; Methods; Optimization; Pacemakers; Pathophysiology; Pediatrics; Prevention
• ISSN: 1880-4276; 1883-2148
• DOI: 10.1002/joa3.12872

Cardiac physiologic pacing (CPP), encompassing cardiac resynchronization therapy (CRT) and conduction system pacing (CSP), has emerged as a pacing therapy strategy that may mitigate or prevent the development of heart failure (HF) in patients with ventricular dyssynchrony or pacing-induced cardiomyopathy. This clinical practice guideline is intended to provide guidance on indications for CRT for HF therapy and CPP in patients with pacemaker indications or HF, patient selection, pre-procedure evaluation and preparation, implant procedure management, follow-up evaluation and optimization of CPP response, and use in pediatric populations. Gaps in knowledge, pointing to new directions for future research, are also identified.