Choice of Ventricular Pacing Site: the End of Non-physiological, Apical Ventricular Pacing?

How His bundle pacing prevents and reverses heart failure induced by right ventricular pacing

Ideal heart performance demands vigorous systolic contractions and rapid diastolic relaxation. These sequential events are precisely timed and interdependent and require the rapid synchronous electrical stimulation provided by the His-Purkinje system. Right ventricular (RV) pacing creates slow asynchronous electrical stimulation that disrupts the timing of the cardiac cycle and results in left ventricular (LV) mechanical asynchrony. Long-term mechanical asynchrony produces LV dysfunction, remodeling, and clinical heart failure. His bundle pacing preserves synchronous electrical and mechanical LV function, prevents or reverses RV pacemaker-induced remodeling, and reduces heart failure.

Letter to the Editor: His Bundle Pacing: A New Frontier in the Treatment of Heart Failure

Collapse

Evolution of the Editorial Board Underpins the Integrity of Arrhythmia and Electrophysiology Review

Collapse

Do We Need an Implantable Cardioverter-defibrillator for Primary Prevention in Cardiac Resynchronisation Therapy Patients?

Collapse