2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure

Authors

Document Type

Journal Article

Publication Date

9-1-2023

Journal

Heart rhythm

Volume

20

Issue

9

DOI

10.1016/j.hrthm.2023.03.1538

Keywords

Cardiac resynchronization therapy; Conduction system pacing; Guideline; His bundle pacing; Left bundle branch area pacing

Abstract

Cardiac physiologic pacing (CPP), encompassing cardiac resynchronization therapy (CRT) and conduction system pacing (CSP), has emerged as a pacing therapy strategy that may mitigate or prevent the development of heart failure (HF) in patients with ventricular dyssynchrony or pacing-induced cardiomyopathy. This clinical practice guideline is intended to provide guidance on indications for CRT for HF therapy and CPP in patients with pacemaker indications or HF, patient selection, pre-procedure evaluation and preparation, implant procedure management, follow-up evaluation and optimization of CPP response, and use in pediatric populations. Gaps in knowledge, pointing to new directions for future research, are also identified.

Department

Medicine

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