The Evolving Role of the Cardiac Conduction System in Cardiac Resynchronisation Therapy and Cardiac Pacing

Gardas, Rafał; Łoboda, Danuta; Gołba, Krzysztof S.

doi:10.1007/978-981-19-6649-1_4

Rafał Gardas^13,14,
Danuta Łoboda^13,14 &
Krzysztof S. Gołba^13,14

Part of the book series: Lecture Notes in Bioengineering ((LNBE))

196 Accesses

Abstract

Conduction system pacing (CSP) is a method of permanent pacing with the utilization of the native conduction system of the heart. CSP involves direct His bundle pacing and lately developed left bundle branch pacing. Direct pacing of the native conduction system presents the possibility of maintaining or restoring a synchronous electrical activation pattern of the left ventricle. This makes the CSP potentially optimal pacing modality and a viable alternative to biventricular pacing for cardiac resynchronization therapy (CRT). The recent years have been a period of expanding interest and rapidly growing evidence of the safety and benefits of CSP for CRT. This chapter presents the anatomy, implantation technique, and clinical application of CSP for CRT.

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Abbreviations

AV:: Atrio-ventricular
BVP:: Biventricular pacing
BVP-CRT:: Resynchronisation achieved by the use of classical left ventricle lead
CSP:: Conduction system pacing
CSPOT:: Conduction system pacing optimised therapy
CRT:: Cardiac resynchronisation therapy
HB:: His bundle
HBP:: His bundle pacing
HOT-CRT:: His bundle pacing optimized CRT
IVCD:: Intraventricular conduction disturbances
IVS:: Interventricular septum
LBB:: Left bundle branch
LBBB:: Left bundle branch block
LBBP:: Left bundle branch pacing
LOT-CRT:: Left bundle branch pacing optimized CRT
LVAT:: Left ventricular activation time
LVEF:: Left ventricle ejection fraction
LVESV:: Left ventricular end-diastolic volume
ns-HBP:: Non-selective His bundle pacing
ns-LBBP:: Non-selective left bundle branch pacing
RBB:: Right bundle branch
RV:: Right ventricle
s-HBP:: Selective His bundle pacing
s-LBBP:: Selective left bundle branch pacing

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Authors and Affiliations

Department of Electrocardiology and Heart Failure, Medical University of Silesia, 40-055, Katowice, Poland
Rafał Gardas, Danuta Łoboda & Krzysztof S. Gołba
Department of Electrocardiology, Upper Silesian Medical Centre of Medical University of Silesia, 40-055, Katowice, Poland
Rafał Gardas, Danuta Łoboda & Krzysztof S. Gołba

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Rafał Gardas
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Danuta Łoboda
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Krzysztof S. Gołba
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Correspondence to Rafał Gardas .

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Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland
Tomasz Jadczyk
CRCTB—Inserm U1045, IHU Liryc, Pessac, France
Guido Caluori
Institute of Biomedical Engineering, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
Axel Loewe
Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland
Krzysztof S. Golba

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Gardas, R., Łoboda, D., Gołba, K.S. (2022). The Evolving Role of the Cardiac Conduction System in Cardiac Resynchronisation Therapy and Cardiac Pacing. In: Jadczyk, T., Caluori, G., Loewe, A., Golba, K.S. (eds) Innovative Treatment Strategies for Clinical Electrophysiology. Lecture Notes in Bioengineering. Springer, Singapore. https://doi.org/10.1007/978-981-19-6649-1_4

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DOI: https://doi.org/10.1007/978-981-19-6649-1_4
Published: 07 December 2022
Publisher Name: Springer, Singapore
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