Device Programming for His Bundle Pacing

Circ Arrhythm Electrophysiol. 2019 Feb;12(2):e006816. doi: 10.1161/CIRCEP.118.006816.


Although permanent His bundle pacing was first reported almost 2 decades ago, it is only recently gaining wider adoption, following facilitation of the implant procedure by dedicated tools. An additional challenge is programming the system, as His bundle pacing may have specific configurations and require special considerations which current implantable pulse generators are not designed for. The aim of this article is to provide practical recommendations for programming His bundle pacing, to deliver optimal therapy and ensure patient safety.

Keywords: bundle of His; cardiac pacemaker, artificial; cardiac resynchronization therapy; defibrillators; patient safety.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Action Potentials*
  • Arrhythmias, Cardiac / diagnosis
  • Arrhythmias, Cardiac / physiopathology
  • Arrhythmias, Cardiac / therapy*
  • Bundle of His / physiopathology*
  • Cardiac Pacing, Artificial / methods*
  • Electrocardiography
  • Electrophysiologic Techniques, Cardiac
  • Equipment Design
  • Heart Failure / diagnosis
  • Heart Failure / physiopathology
  • Heart Failure / therapy*
  • Heart Rate
  • Humans
  • Pacemaker, Artificial*
  • Predictive Value of Tests
  • Signal Processing, Computer-Assisted
  • Time Factors
  • Treatment Outcome