The Evolving Concept of Cardiac Conduction System Pacing

Cardiac pacing is an established treatment option for patients with bradycardia and heart failure. In the recent decade, there is an increasing scientific and clinical interest in the topic of direct His bundle pacing (HBP) and left bundle branch pacing (LBBP) as options for cardiac conduction syste...

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Autores principales: Karpenko, Iurii, Skoryi, Dmytro, Volkov, Dmytro
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Publicado: IntechOpen 2021
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Acceso en línea:https://www.intechopen.com/chapters/78490
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author Karpenko, Iurii
Skoryi, Dmytro
Volkov, Dmytro
author_browse Karpenko, Iurii
Skoryi, Dmytro
Volkov, Dmytro
author_facet Karpenko, Iurii
Skoryi, Dmytro
Volkov, Dmytro
author_sort Karpenko, Iurii
building IntechOpen
collection Acceso abierto
description Cardiac pacing is an established treatment option for patients with bradycardia and heart failure. In the recent decade, there is an increasing scientific and clinical interest in the topic of direct His bundle pacing (HBP) and left bundle branch pacing (LBBP) as options for cardiac conduction system pacing (CSP). The concept of CSP started evolving from the late 1970s, passing several historical landmarks. HBP and LBBP used in CSP proved to be successful in small cohorts of patients with various clinical conditions, including binodal disease, atrioventricular blocks, and in patients with bundle branch blocks with indications for cardiac resynchronization therapy. The scope of this chapter is synthesis and analysis of works devoted to this subject, as well as representation of the author’s experience in this topic. The chapter includes historical background, technical, anatomical, and clinical considerations of CSP, covers evidence base, discusses patient outcomes in line with the pros and cons of the abovementioned methods. The separate part describes practical aspects of different pacing modalities, including stages of the operation and pacemaker programming. The textual content of the chapter is accompanied by illustrations, ECGs, and intracardiac electrograms.
doi_str_mv 10.5772/intechopen.99987
first_indexed 2026-10-15T21:39:18Z
format Book Chapter
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spelling intech-784902021-09-23 The Evolving Concept of Cardiac Conduction System Pacing Iurii Karpenko Dmytro Skoryi Dmytro Volkov Health Sciences Cardiac pacing is an established treatment option for patients with bradycardia and heart failure. In the recent decade, there is an increasing scientific and clinical interest in the topic of direct His bundle pacing (HBP) and left bundle branch pacing (LBBP) as options for cardiac conduction system pacing (CSP). The concept of CSP started evolving from the late 1970s, passing several historical landmarks. HBP and LBBP used in CSP proved to be successful in small cohorts of patients with various clinical conditions, including binodal disease, atrioventricular blocks, and in patients with bundle branch blocks with indications for cardiac resynchronization therapy. The scope of this chapter is synthesis and analysis of works devoted to this subject, as well as representation of the author’s experience in this topic. The chapter includes historical background, technical, anatomical, and clinical considerations of CSP, covers evidence base, discusses patient outcomes in line with the pros and cons of the abovementioned methods. The separate part describes practical aspects of different pacing modalities, including stages of the operation and pacemaker programming. The textual content of the chapter is accompanied by illustrations, ECGs, and intracardiac electrograms. IntechOpen 2021-09-23 Chapter, Part Of Book https://www.intechopen.com/chapters/78490 doi:10.5772/intechopen.99987 en ISBN:978-1-83969-505-6 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/10704 ; Cardiac Arrhythmias - Translational Approach from Pathophysiology to Advanced Care
spellingShingle Health Sciences
Karpenko, Iurii
Skoryi, Dmytro
Volkov, Dmytro
The Evolving Concept of Cardiac Conduction System Pacing
title The Evolving Concept of Cardiac Conduction System Pacing
title_full The Evolving Concept of Cardiac Conduction System Pacing
title_fullStr The Evolving Concept of Cardiac Conduction System Pacing
title_full_unstemmed The Evolving Concept of Cardiac Conduction System Pacing
title_short The Evolving Concept of Cardiac Conduction System Pacing
title_sort evolving concept of cardiac conduction system pacing
topic Health Sciences
url https://www.intechopen.com/chapters/78490
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