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Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy

Cardiac resynchronisation therapy is an important intervention to reduce mortality and morbidity, but even in carefully selected patients approximately 30% fail to improve. This has led to alternative pacing approaches to improve patient outcomes. Left ventricular (LV) endocardial pacing allows paci...

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Detalles Bibliográficos
Autores principales: Sidhu, Baldeep S, Gould, Justin, Elliott, Mark K, Mehta, Vishal, Niederer, Steven, Rinaldi, Christopher A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Radcliffe Cardiology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8076968/
https://www.ncbi.nlm.nih.gov/pubmed/33936743
http://dx.doi.org/10.15420/aer.2020.46
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author Sidhu, Baldeep S
Gould, Justin
Elliott, Mark K
Mehta, Vishal
Niederer, Steven
Rinaldi, Christopher A
author_facet Sidhu, Baldeep S
Gould, Justin
Elliott, Mark K
Mehta, Vishal
Niederer, Steven
Rinaldi, Christopher A
author_sort Sidhu, Baldeep S
collection PubMed
description Cardiac resynchronisation therapy is an important intervention to reduce mortality and morbidity, but even in carefully selected patients approximately 30% fail to improve. This has led to alternative pacing approaches to improve patient outcomes. Left ventricular (LV) endocardial pacing allows pacing at site-specific locations that enable the operator to avoid myocardial scar and target areas of latest activation. Left bundle branch area pacing (LBBAP) provides a more physiological activation pattern and may allow effective cardiac resynchronisation. This article discusses LV endocardial pacing in detail, including the indications, techniques and outcomes. It discusses LBBAP, its potential benefits over His bundle pacing and procedural outcomes. Finally, it concludes with the future role of endocardial pacing and LBBAP in heart failure patients.
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spelling pubmed-80769682021-04-29 Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy Sidhu, Baldeep S Gould, Justin Elliott, Mark K Mehta, Vishal Niederer, Steven Rinaldi, Christopher A Arrhythm Electrophysiol Rev Cardiac Pacing Cardiac resynchronisation therapy is an important intervention to reduce mortality and morbidity, but even in carefully selected patients approximately 30% fail to improve. This has led to alternative pacing approaches to improve patient outcomes. Left ventricular (LV) endocardial pacing allows pacing at site-specific locations that enable the operator to avoid myocardial scar and target areas of latest activation. Left bundle branch area pacing (LBBAP) provides a more physiological activation pattern and may allow effective cardiac resynchronisation. This article discusses LV endocardial pacing in detail, including the indications, techniques and outcomes. It discusses LBBAP, its potential benefits over His bundle pacing and procedural outcomes. Finally, it concludes with the future role of endocardial pacing and LBBAP in heart failure patients. Radcliffe Cardiology 2021-04 /pmc/articles/PMC8076968/ /pubmed/33936743 http://dx.doi.org/10.15420/aer.2020.46 Text en Copyright © 2021, Radcliffe Cardiology https://creativecommons.org/licenses/by-nc/4.0/This work is open access under the CC-BY-NC 4.0 License which allows users to copy, redistribute and make derivative works for non-commercial purposes, provided the original work is cited correctly.
spellingShingle Cardiac Pacing
Sidhu, Baldeep S
Gould, Justin
Elliott, Mark K
Mehta, Vishal
Niederer, Steven
Rinaldi, Christopher A
Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy
title Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy
title_full Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy
title_fullStr Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy
title_full_unstemmed Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy
title_short Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy
title_sort leadless left ventricular endocardial pacing and left bundle branch area pacing for cardiac resynchronisation therapy
topic Cardiac Pacing
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8076968/
https://www.ncbi.nlm.nih.gov/pubmed/33936743
http://dx.doi.org/10.15420/aer.2020.46
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