Pacing of Specialized Conduction System.

Abstract

Right ventricular pacing for bradycardia remains the mainstay of pacing therapy. Chronic right ventricular pacing may lead to pacing-induced cardiomyopathy. We focus on the anatomy of the conduction system and the clinical feasibility of pacing the His bundle and/or left bundle conduction system. We review the hemodynamics of conduction system pacing, the techniques to capture the conduction system and the electrocardiogram and pacing definitions of conduction system capture. Clinical studies of conduction system pacing in the setting of atrioventricular block and after AV junction ablation are reviewed and the evolving role of conduction system pacing is compared with biventricular pacing.

• Authors: Santosh K Padala, Kenneth A Ellenbogen
• Journal: Cardiac electrophysiology clinics (Card Electrophysiol Clin) Vol. 13 Issue 4 Pg. 755-784 (12 2021) ISSN: 1877-9190 [Electronic] United States
• PMID: 34689901 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2021 Elsevier Inc. All rights reserved.

Topics

• Atrioventricular Block (therapy)
• Bradycardia
• Bundle of His
• Cardiac Pacing, Artificial
• Cardiac Resynchronization Therapy
• Electrocardiography
• Heart Conduction System
• Humans
• Treatment Outcome