Conduction System Pacing for Cardiac Resynchronisation

Abstract

Conduction system pacing (CSP) is a technique of pacing that involves implantation of permanent pacing leads along different sites of the cardiac conduction system and includes His bundle pacing and left bundle branch pacing. There is an emerging role for CSP to achieve cardiac resynchronisation in patients with heart failure with reduced ejection fraction and inter-ventricular dyssynchrony. In this article, the authors review these strategies for resynchronisation and the available data on the use of CSP in overcoming dyssynchrony.

Keywords: Biventricular pacing; His bundle pacing; cardiac resynchronisation therapy; conduction system pacing; heart failure; left bundle branch block; left bundle branch pacing; right bundle branch block; ventricular dyssynchrony.