Work

Can we correct dyssynchrony by pacing the right side? The case for right ventricular–synchronized cardiac resynchronization therapy

Year: 2023

Type: article

Abstract: In heart failure with reduced ejection fraction (HFrEF) associated with left bundle branch block (LBBB) the benefits of cardiac resynchronization therapy (CRT) with coronary sinus lead and optimized device settings are universally recognized 1. His bundle pacing (HBP) and left bundle branch (LBBAP) pacing are emerging alternatives when LV placement in a coronary vein fails2,3. While there is some evidence showing electromechanical delays reduction by CRT in patients with RBBB associated with incomplete left fascicular delays [left anterior Hemiblock (LAH) or left posterior hemiblock (LPH)] and QRS > 150 ms, the efficacy of CRT in patients with right bundle branch block alone (RBBB) needs to be further elucidated, especially in the setting of conduction system pacing 4.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2023.06.010

Authors: Giovanni Statuto, Alessandro Carecci, Mirco Lazzeri, Michele Bertelli, Matteo Ziacchi, Mauro Biffi

Institutions: University of Bologna, IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola

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: $1,100