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Permanent His bundle pacing: Recommendations from a Multicenter His Bundle Pacing Collaborative Working Group for
Pugazhendhi Vijayaraman1, Gopi Dandamudi2, Francesco Zanon3
1Geisinger Heart Institute, Wilkes-Barre, Pennsylvania.
Insights
His bundle pacing (HBP) improves heart function by maintaining normal ventricular activation. This article proposes standardized definitions and data collection for consistent reporting of HBP outcomes.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Device Technology
Background:
- His bundle pacing (HBP) preserves normal ventricular electrical activation, preventing dyssynchrony and its complications.
- The adoption of permanent HBP has grown since its introduction in 2000.
- Current reporting of procedural and clinical outcomes for HBP lacks uniformity.
Purpose of the Study:
- To establish a uniform set of definitions for various forms of His bundle pacing.
- To define a standardized approach for gathering data endpoints in HBP studies.
- To ensure consistency and comparability in reported outcomes for HBP procedures.
Main Methods:
- Collaboration among experienced His bundle pacing implanters.
- Development of standardized definitions for HBP techniques.
- Proposal of a consistent framework for data collection and outcome reporting.
Main Results:
- A consensus on definitions for different His bundle pacing modalities was reached.
- A standardized methodology for collecting procedural and clinical data was proposed.
- The framework aims to improve the consistency of outcome reporting in HBP literature.
Conclusions:
- Standardized definitions and data collection are crucial for consistent His bundle pacing outcome reporting.
- This collaborative effort provides a foundation for future research and clinical evaluation of HBP.
- Adoption of these standards will enhance the comparability and reliability of HBP studies.
Abstract:
His bundle pacing (HBP) prevents ventricular dyssynchrony and its long-term consequences by preserving normal electrical activation of the ventricles. Since the original description of permanent HBP in 2000, the adoption of HBP has increased over the past several years. However, the reporting of procedural and clinical outcomes to date is not uniform. This article is a collaboration between several implanters with significant experience in HBP to establish a uniform set of definitions encompassing the different forms of HBP as well as define a standardized approach to gathering data end points to ensure consistency in reported outcomes.
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