[His bundle pacing : the pursuit of physiologic ventricular stimulation]

Area of Science:

• Cardiology
• Electrophysiology
• Medical Devices

Background:

• Traditional right ventricular pacing has known long-term deleterious effects.
• There is a growing need for more physiological pacing methods.

Purpose of the Study:

• To overview the experience with His bundle pacing.
• To familiarize readers with this novel pacing technique.

Main Methods:

• His bundle pacing engages the His-Purkinje system for ventricular activation.
• This method promotes normal electrical activation of the ventricles.

Main Results:

• His bundle pacing avoids long-term dyssynchrony.
• It prevents negative effects on left ventricular function.

Conclusions:

• His bundle pacing is a physiological pacing technique.
• It is becoming a routine procedure with positive implications for patient care.