scholarly journals 2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronisation Therapy

2021 ◽  
Vol 16 ◽  
Author(s):  
Gheorghe-Andrei Dan
Keyword(s):  
Cardiac Pacing ◽  
Cardiac Resynchronisation Therapy ◽  
Cardiac Resynchronisation ◽  
Resynchronisation Therapy ◽  
Esc Guidelines

scholarly journals How to Implant His Bundle and Left Bundle Pacing Leads: Tips and Pearls

2021 ◽  
Vol 7 ◽  
Author(s):  
Shunmuga Sundaram Ponnusamy ◽  
Pugazhendhi Vijayaraman
Keyword(s):  
Cardiac Pacing ◽  
Cardiac Resynchronisation Therapy ◽  
His Bundle ◽  
His Bundle Pacing ◽  
Increased Risk ◽  
Cardiac Resynchronisation ◽  
Significant Efficacy ◽  
Resynchronisation Therapy ◽  
Right Ventricular Apical Pacing ◽  
Tools And Techniques

Cardiac pacing is the treatment of choice for the management of patients with bradycardia. Although right ventricular apical pacing is the standard therapy, it is associated with an increased risk of pacing-induced cardiomyopathy and heart failure. Physiological pacing using His bundle pacing and left bundle branch pacing has recently evolved as the preferred alternative pacing option. Both His bundle pacing and left bundle branch pacing have also demonstrated significant efficacy in correcting left bundle branch block and achieving cardiac resynchronisation therapy. In this article, we review the implantation tools and techniques to perform conduction system pacing.

scholarly journals Update in Cardiac Pacing

2019 ◽  
Vol 8 (3) ◽  
pp. 228-233 ◽  
Author(s):  
Nishant Verma ◽  
Bradley P Knight
Keyword(s):  
Clinical Outcomes ◽  
Cardiac Pacing ◽  
Cardiac Resynchronisation Therapy ◽  
Implantable Devices ◽  
Paradigm Shifts ◽  
Cardiac Efficiency ◽  
Leadless Pacemaker ◽  
Cardiac Resynchronisation ◽  
Resynchronisation Therapy ◽  
Programmable Devices

Initial efforts to artificially stimulate the heart were borne out of a necessity to prevent catastrophic bradycardic events. The initial pacemaker systems were large, bulky external devices. However, advancements in technology allowed for the development of internally powered, fully implantable devices. Further advancements resulted in more complex, programmable devices, but the overall systems have remained largely unchanged for more than 50 years. The most recent advancements in the field have represented fundamental paradigm shifts in both pacemaker design and the approach to cardiac pacing. These efforts have focused on reducing and eliminating hardware to reduce the risk of complications and to focus on improving cardiac efficiency to improve clinical outcomes. In this article, the authors explore these advances including leadless pacemaker systems, permanent His bundle pacing and advances in the field of cardiac resynchronisation therapy.

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