Left bundle branch pacing vs ventricular septal pacing for cardiac resynchronization therapy.

Cardiac resynchronization therapy Deep septal pacing Heart failure Left bundle branch pacing Left ventricular septal pacing

Journal

Heart rhythm O2
ISSN: 2666-5018
Titre abrégé: Heart Rhythm O2
Pays: United States
ID NLM: 101768511

Informations de publication

Date de publication:
Mar 2024
Historique:
medline: 1 4 2024
pubmed: 1 4 2024
entrez: 1 4 2024
Statut: epublish

Résumé

The outcomes of left bundle branch pacing (LBBP) and left ventricular septal pacing (LVSP) in patients with heart failure remain to be learned. The objective of this study was to assess the echocardiographic and clinical outcomes of LBBP, LVSP, and deep septal pacing (DSP). This retrospective study included patients who met the criteria for cardiac resynchronization therapy (CRT) and underwent attempted LBBP in 5 Mayo centers. Clinical, electrocardiographic, and echocardiographic data were collected at baseline and follow-up. A total of 91 consecutive patients were included in the study. A total of 52 patients had LBBP, 25 had LVSP, and 14 had DSP. The median follow-up duration was 307 (interquartile range 208, 508) days. There was significant left ventricular ejection fraction (LVEF) improvement in the LBBP and LVSP groups (from 35.9 ± 8.5% to 46.9 ± 10.0%, In patients undergoing CRT, LVSP had comparable CRT outcomes compared with LBBP.

Sections du résumé

Background UNASSIGNED
The outcomes of left bundle branch pacing (LBBP) and left ventricular septal pacing (LVSP) in patients with heart failure remain to be learned.
Objective UNASSIGNED
The objective of this study was to assess the echocardiographic and clinical outcomes of LBBP, LVSP, and deep septal pacing (DSP).
Methods UNASSIGNED
This retrospective study included patients who met the criteria for cardiac resynchronization therapy (CRT) and underwent attempted LBBP in 5 Mayo centers. Clinical, electrocardiographic, and echocardiographic data were collected at baseline and follow-up.
Results UNASSIGNED
A total of 91 consecutive patients were included in the study. A total of 52 patients had LBBP, 25 had LVSP, and 14 had DSP. The median follow-up duration was 307 (interquartile range 208, 508) days. There was significant left ventricular ejection fraction (LVEF) improvement in the LBBP and LVSP groups (from 35.9 ± 8.5% to 46.9 ± 10.0%,
Conclusion UNASSIGNED
In patients undergoing CRT, LVSP had comparable CRT outcomes compared with LBBP.

Identifiants

pubmed: 38560374
doi: 10.1016/j.hroo.2024.01.005
pii: S2666-5018(24)00006-0
pmc: PMC10980924
doi:

Types de publication

Journal Article

Langues

eng

Pagination

150-157

Informations de copyright

© 2024 Heart Rhythm Society. Published by Elsevier Inc.

Auteurs

Jingjing Chen (J)

Department of Cardiovascular Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Fatima M Ezzeddine (FM)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Xiaoke Liu (X)

Department of Cardiovascular Medicine, Mayo Clinic, La Crosse, Wisconsin.

Vaibhav Vaidya (V)

Department of Cardiovascular Medicine, Mayo Clinic, Eau Claire, Wisconsin.

Christopher J McLeod (CJ)

Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Florida.

Arturo M Valverde (AM)

Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona.

Freddy Del-Carpio Munoz (F)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Abhishek J Deshmukh (AJ)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Malini Madhavan (M)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Ammar M Killu (AM)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Siva K Mulpuru (SK)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Paul A Friedman (PA)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Yong-Mei Cha (YM)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Classifications MeSH