Left bundle branch stimulation. Technical aspects. Evidence base for use as an alternative to resynchronization therapy and conventional cardiac pacing
https://doi.org/10.15829/1560-4071-2024-6201
EDN: FHLMWD
Abstract
Left bundle branch pacing is a new type of physiological cardiac pacing. It has advantages in patients with bradycardia and heart failure. However, this type of treatment raises a number of questions among specialists. There is a misunderstanding of implantation technical aspects, and evidence base for this method remains unclear due to the small number of large-scale studies in the world literature, as well as the absence of this type of treatment in Russian clinical guidelines. In this article, a group of authors reflects the solution of the above problems in clinical practice by describing the technical aspects of left bundle branch pacing and showing its advantages as an alternative to resynchronization therapy and conventional electrical pacing.
About the Authors
N. A. Prikhodko
Almazov National Medical Research Center
Russian Federation
Competing Interests:
Russian Federation
St. Petersburg
Competing Interests:
None
S. S. Zamudriakov
Federal Center for Cardiovascular Surgery
Russian Federation
Competing Interests:
Russian Federation
Krasnoyarsk
Competing Interests:
None
D. S. Lebedev
Almazov National Medical Research Center
Russian Federation
Competing Interests:
Russian Federation
St. Petersburg
Competing Interests:
None
E. A. Ivanitsky
Federal Center for Cardiovascular Surgery
Russian Federation
Competing Interests:
Russian Federation
Krasnoyarsk
Competing Interests:
None
References
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Supplementary files
- The technique of left bundle branch pacing is safe, effective and reproducible. At the same time, it allows ventricular physiological depolarization.
- In the context of cardiac resynchronization therapy, left bundle branch pacing shows promise and may be used in a large number of patients as an alternative to conventional biventricular pacing.
Review
For citations:
Prikhodko N.A., Zamudriakov S.S., Lebedev D.S., Ivanitsky E.A. Left bundle branch stimulation. Technical aspects. Evidence base for use as an alternative to resynchronization therapy and conventional cardiac pacing. Russian Journal of Cardiology. 2024;29(4S):6201. (In Russ.) https://doi.org/10.15829/1560-4071-2024-6201. EDN: FHLMWD
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