Left bundle branch pacing: An evolving site for physiological pacing.
Eka P B Mulia1, Muhammad R Amadis1, Rerdin Julario1
1Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Airlangga - Dr. Soetomo General Hospital Surabaya Indonesia.
Journal of Arrhythmia
|December 10, 2021
Summary
Cardiac pacing treats symptomatic bradyarrhythmia. Left bundle branch pacing (LBBP) offers a viable alternative to His bundle pacing (HBP), providing stable and effective physiological pacing.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Devices
Background:
- Symptomatic bradyarrhythmia necessitates cardiac pacing.
- Traditional right ventricular pacing causes dyssynchrony, leading to heart dysfunction.
- Physiological pacing synchronizes ventricular contraction via natural conduction.
Purpose of the Study:
- To evaluate Left Bundle Branch Pacing (LBBP) as an alternative to His Bundle Pacing (HBP).
- To address limitations of His Bundle Pacing (HBP) in physiological pacing.
Main Methods:
- Comparison of Left Bundle Branch Pacing (LBBP) with traditional pacing and His Bundle Pacing (HBP).
- Assessment of lead stability, pacing thresholds, and conduction system disease correction.
Main Results:
- Left Bundle Branch Pacing (LBBP) demonstrates lead stability and low, stable pacing thresholds.
- Left Bundle Branch Pacing (LBBP) effectively corrects distal conduction system disease.
- Left Bundle Branch Pacing (LBBP) offers a viable alternative when His Bundle Pacing (HBP) is not feasible.
Conclusions:
- Left Bundle Branch Pacing (LBBP) is a promising physiological pacing technique.
- Left Bundle Branch Pacing (LBBP) overcomes technical challenges associated with His Bundle Pacing (HBP).
- Left Bundle Branch Pacing (LBBP) provides effective treatment for bradyarrhythmia with synchronized contraction.
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