Left bundle branch pacing: A comprehensive review

Cardiac pacing is the only effective therapy for patients with symptomatic bradyarrhythmia. Traditional right ventricular apical pacing causes electrical and mechanical dyssynchrony resulting in left ventricular dysfunction, recurrent heart failure, and atrial arrhythmias. Physiological pacing activ...

Full description

Saved in:
Bibliographic Details
Published in:Journal of cardiovascular electrophysiology 2020-09, Vol.31 (9), p.2462-2473
Main Authors: Ponnusamy, Shunmuga Sundaram, Arora, Vanita, Namboodiri, Narayanan, Kumar, Vivek, Kapoor, Aditya, Vijayaraman, Pugazhendhi
Format: Article
Language:English
Subjects:
Conduction
conduction system
Congestive heart failure
Contraction
dyssynchrony
heart failure
left bundle pacing
physiological pacing
Physiology
Ventricle
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Cardiac pacing is the only effective therapy for patients with symptomatic bradyarrhythmia. Traditional right ventricular apical pacing causes electrical and mechanical dyssynchrony resulting in left ventricular dysfunction, recurrent heart failure, and atrial arrhythmias. Physiological pacing activates the normal cardiac conduction, thereby providing synchronized contraction of ventricles. Though His bundle pacing (HBP) acts as an ideal physiological pacing modality, it is technically challenging and associated with troubleshooting issues during follow‐up. Left bundle branch pacing (LBBP) has been suggested as an effective alternative to overcome the limitations of HBP as it provides low and stable pacing threshold, lead stability, and correction of distal conduction system disease. This paper will focus on the implantation technique, troubleshooting, clinical implications, and a review of published literature of LBBP.
ISSN:1045-3873
1540-8167
DOI:10.1111/jce.14681