Left bundle branch pacing is superior to classic cardiac resynchronisation therapy : Pros and cons

Cardiac resynchronisation therapy (CRT) is an effective method for increasing quality of life and life expectancy for many patients with heart failure. Due to the good results, this procedure is used frequently in Germany and has established itself as a class I indication in heart failure therapy. I...

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Bibliographic Details
Published in:Herzschrittmachertherapie & Elektrophysiologie 2024-12, Vol.35 (4), p.256
Main Authors: Richter, Sergio, Lemke, Bernd
Format: Article
Language:ger
Subjects:
Bundle-Branch Block - physiopathology
Bundle-Branch Block - therapy
Cardiac Resynchronization Therapy - methods
Evidence-Based Medicine
Heart Failure - therapy
Humans
Treatment Outcome
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Summary:Cardiac resynchronisation therapy (CRT) is an effective method for increasing quality of life and life expectancy for many patients with heart failure. Due to the good results, this procedure is used frequently in Germany and has established itself as a class I indication in heart failure therapy. In addition to His bundle pacing, left bundle branch pacing has now also made a name for itself, as it shows a good success rate and can be used in a wider range of patients. Now the question arises as to whether left bundle branch pacing is superior to classic biventricular pacing and what the evidence situation is in this respect. This question shall be discussed in this article considering current studies and guideline recommendations.
ISSN:1435-1544
1435-1544
DOI:10.1007/s00399-024-01054-6