Back to Nature ’s Way: Pacing the Conducting System

Pacing has undergone significant evolution over the past century from external pacemakers introduced in the late 1920s to totally implantable pacemakers in the late 1950s. The quest to attain optimal ventricular synchronisation has led to newer techniques of biventricular pacing in the 1990s and, more recently, conduction system pacing (CSP). The desire for cardiac physiologic pacing stems from the known deleterious effects of pacing-induced ventricular dyssynchony from conventional right ventricular pacing, including development of cardiomyopathy, increased risk of atrial fibrillation, heart failure hospitalisations, and mortality [1,2].
Source: Heart, Lung and Circulation - Category: Cardiology Authors: Tags: Editorial Source Type: research