Can left bundle branch area pacing replace right ventricular pacing in the treatment of bradycardia patients with normal cardiac function
ZHU Kai-lun
FAN Xiao-han
Abstract：Left bundle branch area pacing(LBBAP)preserves better physiologic left ventricular electrical and mechanical systolic synchrony compared with traditional right ventricular pacing(RVP),and some patients can obtain better biventricular synchrony.For patients with high pacing burden,LBBAP can reduce the risk of new-onset atrial fibrillation,reduce the risk of cardiac function deterioration induced by RVP,and improve cardiac function in some RVP induced cardiomyopathy by upgrading to LBBAP.With the increase in experience and the improvement in implantation technique,the procedural time and success rate of LBBAP are basically similar those of conventional RVP in clinical practice,with lower rate of complications such as lead dislodgement.Considering the safety and effectiveness,clinical feasibility and long-term benefit,LBBAP is expected to replace traditional RVP and become a routine pacing strategy for bradycardia patients with normal cardiac function.
Keywords：left bundle branch area pacingphysiological pacingright ventricular pacingbradyarrhythmia
Publication Date：2025-05-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 389-393 )