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http://dx.doi.org/10.1016/j.jacep.2020.03.011 | DOI Listing |
J Innov Card Rhythm Manag
August 2025
Department of Cardiology, University School of Medicine, Omaha, NE, USA.
Conduction system pacing has emerged as a new pacing technique to achieve cardiac physiologic pacing, but its utility and safety in patients with atrial fibrillation undergoing simultaneous ablation of the atrioventricular node remains seemingly unknown. Here, we present a case series of 10 patients with long-standing persistent or permanent atrial fibrillation who failed rate-control therapy and elected to proceed with simultaneous ablation of the atrioventricular node and His-bundle pacemaker implantation.
View Article and Find Full Text PDFEuropace
August 2025
Cardiology Unit, Sant'Anna University Hospital, University of Ferrara, Via A. Moro 8, Ferrara Cona (FE) 44124, Italy.
Aims: Prolonged right ventricular pacing (RVP) increases the risk of cardiomyopathy, atrial fibrillation, heart failure (HF), and mortality. This registry-based trial compared left bundle branch area pacing (LBBAP) with RVP in patients younger than 65 years.
Methods And Results: Using the ConTempoRary Cardiac Stimulation in Clinical practicE: lEft, BivEntriculAr, Right, and conDuction System Pacing (TREEBEARD) registry (NCT06324682), patients were randomized 1:1 to LBBAP or RVP.
Heart Rhythm
August 2025
Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes-Barre, Pennsylvania.
Biomedicines
July 2025
5th Department of Internal Medicine, University Hospital Bratislava, Ružinovská 4810/6, 821 01 Bratislava, Slovakia.
Right ventricular apex (RVA) pacing has historically been the default approach for cardiac pacing; however, it is associated with the development of progressive left ventricular dysfunction and heart failure (HF), particularly in patients with high pacing burdens. While advances in device programming and modern algorithms have sought to mitigate these effects, preserving physiological activation has proven to be more critical than reducing ventricular pacing. Conduction system pacing (CSP) techniques-namely, His-bundle pacing (HBP) and particularly left bundle branch area pacing (LBBAP)-have emerged as superior alternatives, enabling improved left ventricular function and reduced rates of pacing-induced cardiomyopathy (PICM).
View Article and Find Full Text PDFHeart Rhythm
July 2025
Christian-Albrechts-University, Medical Faculty, Kiel, Germany; University of Applied Science, Life Sciences, Bremerhaven, Germany. Electronic address: