Related Experiment Video

Updated: Feb 5, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

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His Bundle Pacing: Getting on the Learning Curve

Daniel L Lustgarten1

  • 1The University of Vermont School of Medicine, The University of Vermont Medical Center, 111 Colchester Avenue, McClure 1 Cardiology, Burlington, VT 05401, USA.

Cardiac Electrophysiology Clinics
|September 3, 2018
PubMed

Insights

Permanent His bundle pacing can prevent heart rhythm problems and offer an alternative to cardiac resynchronization therapy for heart failure patients. Mastering this technique requires focused training and developing technical skills for durable results.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Ventricular pacing can cause dyssynchrony.
  • Bundle branch disease and heart failure often require pacing.
  • Current pacing methods may not fully address dyssynchrony.

Purpose of the Study:

  • To highlight the benefits of permanent His bundle pacing.
  • To address barriers to His bundle pacing adoption.
  • To guide physicians in developing technical competence for His bundle pacing.

Main Methods:

  • Focus on the learning curve for His bundle pacing.
  • Discuss technical aspects for successful implantation.
  • Emphasize strategies for durable His bundle pacing.

Main Results:

  • Permanent His bundle pacing prevents ventricular dyssynchrony.
  • It serves as an alternative to cardiac resynchronization therapy.
  • Challenges in adoption are related to procedural competence.

Conclusions:

  • His bundle pacing is a viable alternative for select patients.
  • Developing technical proficiency is key to successful adoption.
  • Further education and training can overcome procedural hurdles.

Keywords:
CompetenceExpertiseHis bundle pacingPhysiologic pacingTraining

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