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Permanent parahisian pacing is feasible, effective and more physiologic: no more right ventricular apical pacing and no compulsive need for elaborate His bundle pacing

Year: 2025

Type: article

Abstract: Right ventricular apical or outflow-tract pacing is non-physiological, conferring longterm deleterious effects; His-bundle (HB) pacing (HBP) is more physiologic but elaborate requiring extra tools.Parahisian pacing (PHP), adopted by us for ~20 years, is an effective/ practical option, with the pacing lead placed near the HB or the proximal right bundle branch guided by fluoroscopy and electrocardiography, seeking a narrow-paced QRS by actively fixing the electrode across the tricuspid valve, against its septal leaflet.Comparative trials report that nonselective and selective HBP appear comparable regarding left-ventricular function, death or hospitalization.More comparative data with other pacing approaches are needed before PHP is widely adopted.

Source: International Journal of Arrhythmia

DOI: 10.18501/ija.2025.26.e6

Authors: Antonis A. Manolis, Apostolos Vouliotis, Theodora A. Manolis, Antonis S. Manolis

Institutions: General Hospital of Athens Elpis, Athens Euroclinic

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: diamond

OpenAlex ID: W4414707933