Tag Archives: conduction system pacing

Introduction The development of conduction system pacing (CSP) marks a significant advancement in cardiac pacing, offering a more physiological approach by directly stimulating the heart’s native conduction pathways (figure 1).1 In contrast, conventional right ventricular (RV) pacing can result in electrical dyssynchrony, and has been linked to adverse cardiac remodelling and pacing-induced cardiomyopathy over time.2 Figure 1. Typical electrocardiogram (ECG) post-left bundle-branch area pacing (LBBAP). Terminal R-wave in V1, narrow QRS The two main modalities of CSP – His-bundle pacing (HBP) and left bundle-branch area pacing (LBBAP) –