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e-Article

2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure.
Document Type
article
Source
Journal of Arrhythmia. 20(9)
Subject
Cardiac resynchronization therapy
Conduction system pacing
Guideline
His bundle pacing
Left bundle branch area pacing
Child
Humans
Bundle of His
Treatment Outcome
Cardiac Conduction System Disease
Cardiac Resynchronization Therapy
Heart Failure
Electrocardiography
Language
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.