His Bundle Pacing: A promising alternative strategy for Antibradycardic-pacing. Report of a single center-experience

Hellenic J Cardiol. 2021 Nov 26:S1109-9666(21)00186-X. doi: 10.1016/j.hjc.2021.10.005. Online ahead of print.ABSTRACTHis Bundle Pacing (HBP) is proven to be a safe and effective alternative pacing modality that, in addition, avoids Pacemaker-induced Cardiomyopathy (PICM) by achieving a ''physiological'' ventricular stimulation, via the native conduction system. Indications include various causes of bradycardia requiring antibradycardic pacing, inadequately controlled Atrial Fibrillation requiring AV node ablation and established PICM. In addition, HBP may also be used as an alternative therapy for patients with Heart Failure (HF) and an indication for Cardiac Resynchronization Therapy. Available data show a benefit from HBP with regard to preservation or restoration of intra- and inter-ventricular synchronization, improvement in Left Ventricular Ejection Fraction, functional status and Quality of Life, decrease in atrial fibrillation incidence and improvement in HF hospitalization rates, compared to conventional pacing. Nevertheless, superiority in terms of mortality rates has not been consistently demonstrated and long-term efficacy and safety remains to be proven. In the present manuscript, we review the status of HBP and we present our current experience with this novel pacing modality.PMID:34843996 | DOI:10.1016/j.hjc.2021.10.005
Source: Hellenic Journal of Cardiology - Category: Cardiology Authors: Source Type: research