Work

Conduction system pacing: What is new in 2025 Clinical Consensus Statement

Year: 2025

Type: article

Abstract: Conduction system pacing (CSP), which includes His bundle pacing (HBP) and left bundle branch area pacing (LBBAP), is increasingly recognized as a physiological and clinically effective alternative to conventional right ventricular pacing (RVP) and biventricular pacing (BiVP).The 2023 EHRA consensus provided a detailed overview of implantation techniques and procedural endpoints, while the 2025 EHRA/ESC clinical consensus expands the discussion to clinical decision-making and patient selection across various scenarios.This review highlights the evolving role of CSP specifically in the context of bradycardia management and cardiac resynchronization therapy (CRT).We focus on how recent recommendations guide the choice of pacing strategy or resynchronization modality depending on individual clinical scenarios.

Source: Heart Vessels and Transplantation

DOI: 10.24969/hvt.2025.588

Authors: Oleh Semeniuk, Mykhaylo Sorokivskyy, Ulyana Chernyaha-Royko, Oleh Zharinov

Institutions: Danylo Halytsky Lviv National Medical University, Shupyk National Healthcare University of Ukraine

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $350